Healthcare Provider Details

I. General information

NPI: 1336069962
Provider Name (Legal Business Name): DARLYN HUATO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 N ORANGE GROVE BLVD
PASADENA CA
91103-3333
US

IV. Provider business mailing address

5508 N FENIMORE AVE
AZUSA CA
91702-5844
US

V. Phone/Fax

Practice location:
  • Phone: 626-296-8900
  • Fax:
Mailing address:
  • Phone: 626-423-9863
  • Fax: 78-965-5694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number158906
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: