Healthcare Provider Details

I. General information

NPI: 1235616350
Provider Name (Legal Business Name): KAROLINA OCHOA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2018
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 NEVADA ST STE 306
REDLANDS CA
92373-8053
US

IV. Provider business mailing address

12510 PENSKE ST
MORENO VALLEY CA
92553-5207
US

V. Phone/Fax

Practice location:
  • Phone: 95-728-2809
  • Fax:
Mailing address:
  • Phone: 951-901-5305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-143473
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: