Healthcare Provider Details

I. General information

NPI: 1265816847
Provider Name (Legal Business Name): KARINA MONTES DE OCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2015
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 LONG BEACH BLVD
LONG BEACH CA
90807-2616
US

IV. Provider business mailing address

680 LANGSDORF DR STE 200
FULLERTON CA
92831-3702
US

V. Phone/Fax

Practice location:
  • Phone: 562-427-7671
  • Fax:
Mailing address:
  • Phone: 714-871-9264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: