Healthcare Provider Details

I. General information

NPI: 1871409516
Provider Name (Legal Business Name): RADHA PRIYA HARRINGTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22365 EL TORO RD STE 151
LAKE FOREST CA
92630-5053
US

IV. Provider business mailing address

22365 EL TORO RD STE 151
LAKE FOREST CA
92630-5053
US

V. Phone/Fax

Practice location:
  • Phone: 714-805-9070
  • Fax: 949-860-7221
Mailing address:
  • Phone: 714-805-9070
  • Fax: 949-860-7221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: