Healthcare Provider Details

I. General information

NPI: 1962193870
Provider Name (Legal Business Name): AILANA SARIA DONATO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2023
Last Update Date: 05/28/2025
Certification Date: 05/21/2025
Deactivation Date: 06/13/2023
Reactivation Date: 06/29/2023

III. Provider practice location address

1932 E DEERE AVE STE 240
SANTA ANA CA
92705-5716
US

IV. Provider business mailing address

1932 E DEERE AVE STE 240
SANTA ANA CA
92705-5716
US

V. Phone/Fax

Practice location:
  • Phone: 714-953-4455
  • Fax: 714-542-2793
Mailing address:
  • Phone: 714-403-9535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number18116
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number150976
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: