Healthcare Provider Details

I. General information

NPI: 1679109102
Provider Name (Legal Business Name): HELEANA UNANOFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2020
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4321 WALNUT AVE
IRVINE CA
92604-2239
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: 949-936-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number38513
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: