Healthcare Provider Details

I. General information

NPI: 1871103036
Provider Name (Legal Business Name): ALYSSA HANSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2020
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27601 FORBES RD STE 49
LAGUNA NIGUEL CA
92677-1242
US

IV. Provider business mailing address

30451 AVENIDA DE LAS FLORES UNIT B
RANCHO SANTA MARGARITA CA
92688-3953
US

V. Phone/Fax

Practice location:
  • Phone: 949-205-7245
  • Fax:
Mailing address:
  • Phone: 949-205-7245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: