Healthcare Provider Details

I. General information

NPI: 1053019257
Provider Name (Legal Business Name): MRS. ALANNA L REEVE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2023
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5050 BARRANCA PKWY
IRVINE CA
92604-4652
US

IV. Provider business mailing address

29605 FAIRGLEN CT
SAN JUAN CAPISTRANO CA
92675-1207
US

V. Phone/Fax

Practice location:
  • Phone: 949-936-8550
  • Fax:
Mailing address:
  • Phone: 949-374-6588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: