Healthcare Provider Details

I. General information

NPI: 1881406858
Provider Name (Legal Business Name): INTUITIVE KIDS A PROFESSIONAL MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2025
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 W CHAPMAN AVE STE 237
ORANGE CA
92868-2316
US

IV. Provider business mailing address

5506 E PARTRIDGE LN
ORANGE CA
92869-4338
US

V. Phone/Fax

Practice location:
  • Phone: 714-202-6857
  • Fax: 855-978-0433
Mailing address:
  • Phone: 714-418-8367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: LEEN YOSEF
Title or Position: CEO
Credential: MS
Phone: 714-418-8367