Healthcare Provider Details

I. General information

NPI: 1124755665
Provider Name (Legal Business Name): BIANCA ALEXANDRIA REHMER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BIANCA WHITE

II. Dates (important events)

Enumeration Date: 08/04/2022
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25910 ACERO STE 160
MISSION VIEJO CA
92691-2777
US

IV. Provider business mailing address

25910 ACERO STE 160
MISSION VIEJO CA
92691-2777
US

V. Phone/Fax

Practice location:
  • Phone: 909-320-0064
  • Fax:
Mailing address:
  • Phone: 909-320-0064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number23602
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: