Healthcare Provider Details

I. General information

NPI: 1447039573
Provider Name (Legal Business Name): HALA ATABA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2023
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5050 BARRANCA PKWY
IRVINE CA
92604-4652
US

IV. Provider business mailing address

5050 BARRANCA PKWY
IRVINE CA
92604-4652
US

V. Phone/Fax

Practice location:
  • Phone: 949-936-7000
  • Fax:
Mailing address:
  • Phone: 949-936-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number36246
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: