Healthcare Provider Details

I. General information

NPI: 1861149890
Provider Name (Legal Business Name): JOHN DANIEL HOBBS AMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2022
Last Update Date: 04/27/2022
Certification Date: 04/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 W KATELLA AVE STE 150
ORANGE CA
92867-3432
US

IV. Provider business mailing address

1855 W KATELLA AVE STE 150
ORANGE CA
92867-3432
US

V. Phone/Fax

Practice location:
  • Phone: 714-399-3480
  • Fax: 714-399-3481
Mailing address:
  • Phone: 714-399-3480
  • Fax: 714-399-3481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT130735
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: