Healthcare Provider Details

I. General information

NPI: 1366307480
Provider Name (Legal Business Name): OLIVIA HING PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4482 BARRANCA PKWY
IRVINE CA
92604-7701
US

IV. Provider business mailing address

10290 EL MONTEREY AVE
FOUNTAIN VALLEY CA
92708-5264
US

V. Phone/Fax

Practice location:
  • Phone: 949-679-3337
  • Fax:
Mailing address:
  • Phone: 714-679-9353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT309172
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: