Organization
KALAYA'S DESTINY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESTINI LEE (CEO)
(818) 579-1810
Entity
Organization
Contact information
Practice address
1940 E DEERE AVE STE 100, SANTA ANA, CA 92705-5718
(714) 742-2375
Mailing address
3701 PARKVIEW LN APT 7B, IRVINE, CA 92612-1855
(818) 579-1810
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
01/14/2025
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