Healthcare Provider Details

I. General information

NPI: 1871424960
Provider Name (Legal Business Name): SANTA ADRIANA ESSENBERG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

30100 CROWN VALLEY PKWY STE 16
LAGUNA NIGUEL CA
92677-2041
US

IV. Provider business mailing address

30100 CROWN VALLEY PKWY STE 16
LAGUNA NIGUEL CA
92677-2041
US

V. Phone/Fax

Practice location:
  • Phone: 949-303-0798
  • Fax:
Mailing address:
  • Phone: 949-303-0798
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number80090
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: