Healthcare Provider Details

I. General information

NPI: 1073076899
Provider Name (Legal Business Name): MARIA CARINA ABENES PSY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2019
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 E 4TH ST STE 101
SANTA ANA CA
92701-5159
US

IV. Provider business mailing address

1650 E 4TH ST STE 101
SANTA ANA CA
92701-5159
US

V. Phone/Fax

Practice location:
  • Phone: 714-525-8509
  • Fax:
Mailing address:
  • Phone: 714-525-8509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number32296
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: