Healthcare Provider Details

I. General information

NPI: 1922414382
Provider Name (Legal Business Name): MARIA ISABEL KLUWE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2014
Last Update Date: 05/23/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14632 YORBA ST STE B
TUSTIN CA
92780-2554
US

IV. Provider business mailing address

14632 YORBA ST STE B
TUSTIN CA
92780-2554
US

V. Phone/Fax

Practice location:
  • Phone: 714-714-0780
  • Fax:
Mailing address:
  • Phone: 714-714-0780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number87760
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: