# ILLUMINATION INSTITUTE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972341071
- **Authorized official:** HAI HOANG (COO)
- **Authorized official phone:** (714) 626-9120

## Contact information

- **Practice address:** 10061 TALBERT AVE STE 345, FOUNTAIN VALLEY, CA 92708-5143
- **Practice address phone:** (714) 626-9121
- **Mailing address:** 10061 TALBERT AVE STE 345, FOUNTAIN VALLEY, CA 92708-5143
- **Mailing address phone:** (714) 626-9121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/15/2024
- **Last updated:** 07/15/2024