Individual
LORISSA S TALAVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 E 4TH ST, SANTA ANA, CA 92701-5151
(877) 611-2272
Mailing address
1650 E 4TH ST STE 101, SANTA ANA, CA 92701-5159
(877) 611-2272
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
94028280
CA
Other
Enumeration date
02/18/2026
Last updated
02/18/2026
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