Healthcare Provider Details

I. General information

NPI: 1316540552
Provider Name (Legal Business Name): AUKSE GOKTEPE PMHNP-BC, MSN, CCRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2020
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 W WHITTIER BLVD STE 223
LA HABRA CA
90631-3893
US

IV. Provider business mailing address

121 W WHITTIER BLVD STE 223
LA HABRA CA
90631-3893
US

V. Phone/Fax

Practice location:
  • Phone: 562-364-4100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number880765
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNP95033292
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number816185
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: