Provider Demographics
NPI:1073175972
Name:ADVINCULA, HARLIN MAE MOJICA
Entity Type:Individual
Prefix:
First Name:HARLIN MAE
Middle Name:MOJICA
Last Name:ADVINCULA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HARLIN
Other - Middle Name:MOJICA
Other - Last Name:ADVINCULA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1100 W TOWN & COUNTRY RD
Mailing Address - Street 2:SUITE 1250
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:949-357-2556
Practice Address - Street 1:1100 W TOWN & COUNTRY RD
Practice Address - Street 2:SUITE 1250
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868
Practice Address - Country:US
Practice Address - Phone:949-357-2556
Practice Address - Fax:949-357-2556
Is Sole Proprietor?:No
Enumeration Date:2019-07-01
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other