Moniqua Prince

Primary specialty

SpecialistTaxonomy code 174400000X

License

L9935 Issued in CA

Practice address

1780 E McFadden Ave Ste 115
Santa Ana, CA 92705-4648

Phone

(714) 617-5463

Fax

(714) 880-7185

NPI assigned

Jan 4, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oc Electrolysis & Skin Care

  • Specialist
  • Santa Ana, CA
  • NPI 1205507654
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735948800000",
    "number": "1972312841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 E MCFADDEN AVE STE 115",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 E MCFADDEN AVE STE 115",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054648",
            "telephone_number": "714-617-5463",
            "fax_number": "714-880-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "MONIQUA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-04",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "L9935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marco Priego
• Isabella Prieto, BEHAVIOR TECHNICIAN
• Emilie Prillwitz
• Primary and Multi-Specialty Clinics of Anaheim, Inc
• Prime Care USA Corp
• Priority Wellness Services PC
• Lawrence Pritchett, R.N., P.H.N.
• Stacy Lynn Pritchett
• Probe Clinical Research Corporation
• Program for Torture Victims

• Specialist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.