Thordarson, Micaela
Thordarson, Micaela is an individual health care provider with primary practice located at 1120 W La Veta Ave Ste 400 , Orange CA 92868-4243. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Thordarson, Micaela can be contacted via phone (714) 509-8262.Contact Information
Primary practice address
1120 W La Veta Ave Ste 400
Orange CA 92868-4243
Phone: (714) 509-8262
Fax: (714) 509-8266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 29572 | California |
Profile Details
| NPI number | 1366811101 |
|---|---|
| LBN Legal business name | Thordarson, Micaela |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2015 |
| Last updated | Nov 10th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366811101 | NPPES |
| Ohio | MEDICAID | 2846675 |
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