Healthcare Provider Details

I. General information

NPI: 1073815544
Provider Name (Legal Business Name): MISS DIANA HUA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2010
Last Update Date: 12/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 N BUSH ST
SANTA ANA CA
92706-2816
US

IV. Provider business mailing address

1910 N BUSH ST
SANTA ANA CA
92706-2816
US

V. Phone/Fax

Practice location:
  • Phone: 714-361-4860
  • Fax: 714-361-4861
Mailing address:
  • Phone: 714-361-4860
  • Fax: 714-361-4861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: