Healthcare Provider Details

I. General information

NPI: 1316859390
Provider Name (Legal Business Name): HANA MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19712 MACARTHUR BLVD
IRVINE CA
92612-2407
US

IV. Provider business mailing address

1501 CORPORATE DR STE B7
LADERA RANCH CA
92694-2132
US

V. Phone/Fax

Practice location:
  • Phone: 949-223-6771
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: AMY YUN
Title or Position: NURSE PRACTITIONER
Credential:
Phone: 949-223-6771