Healthcare Provider Details

I. General information

NPI: 1548146640
Provider Name (Legal Business Name): DILARA SULTANA PSYCHIATRY NURSE PRA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 W CHAPMAN AVE STE 212
ORANGE CA
92868-2316
US

IV. Provider business mailing address

242 S CRAWFORD CANYON RD UNIT 12
ORANGE CA
92869-3183
US

V. Phone/Fax

Practice location:
  • Phone: 714-712-0711
  • Fax: 657-224-4781
Mailing address:
  • Phone: 440-413-6994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNP95033148
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: