Healthcare Provider Details

I. General information

NPI: 1245997766
Provider Name (Legal Business Name): JASMINE ADUNA PPSC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2021
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4771 CAMPUS DR
IRVINE CA
92612-3298
US

IV. Provider business mailing address

2480 IRVINE BLVD APT 367
TUSTIN CA
92782-8038
US

V. Phone/Fax

Practice location:
  • Phone: 949-936-7753
  • Fax:
Mailing address:
  • Phone: 657-405-1793
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number250136070
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: