Healthcare Provider Details

I. General information

NPI: 1861729238
Provider Name (Legal Business Name): LOVE 2 LEARN CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2009
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5762 BOLSA AVE STE 100
HUNTINGTON BEACH CA
92649-1172
US

IV. Provider business mailing address

5762 BOLSA AVE STE 100
HUNTINGTON BEACH CA
92649-1172
US

V. Phone/Fax

Practice location:
  • Phone: 714-292-2322
  • Fax: 714-587-5602
Mailing address:
  • Phone: 714-292-2322
  • Fax: 714-587-5602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number1827987
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DIEGO KEISMAN
Title or Position: EXECUTIVE DIRECTOR OF REVENUE AND C
Credential:
Phone: 714-292-2322