Healthcare Provider Details

I. General information

NPI: 1780504423
Provider Name (Legal Business Name): KARLA VENTURA LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 W MACARTHUR BLVD STE 100-A
SANTA ANA CA
92704-6916
US

IV. Provider business mailing address

PO BOX 25852
SANTA ANA CA
92799-5852
US

V. Phone/Fax

Practice location:
  • Phone: 714-202-7167
  • Fax:
Mailing address:
  • Phone: 562-826-6169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number164459
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: