Healthcare Provider Details

I. General information

NPI: 1972423101
Provider Name (Legal Business Name): JUSTINE ALMARAZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 W CHAPMAN AVE STE 202
ORANGE CA
92868-2893
US

IV. Provider business mailing address

1293 ANTIGUA CIR
PLACENTIA CA
92870-4204
US

V. Phone/Fax

Practice location:
  • Phone: 818-858-4968
  • Fax:
Mailing address:
  • Phone: 818-858-4968
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberBP5416
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: