Individual
KELSEY HAUNANI BAINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, CPM, LM
Contact information
Practice address
30270 RANCHO VIEJO RD STE F, SAN JUAN CAPISTRANO, CA 92675-1556
(818) 422-8842
Mailing address
8045 E CHAPMAN AVE, ORANGE, CA 92869-4512
(714) 628-4704
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
769
CA
2255A2300X
Athletic Trainer
030702110
CA
Other
Enumeration date
04/18/2014
Last updated
07/02/2025
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