Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Latasha Marie Green McCullouch

Individual provider Health & Wellness Coach · NPI 1700623931

Latasha Marie Green McCullouch is a Health & Wellness Coach in Fullerton, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2500 W Orangethorpe Ave Ste 116
Fullerton, CA 92833-4237
Phone: (714) 353-2970
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health & Wellness Coach (primary) Taxonomy 171400000X

Record details

NPI number1700623931
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 15, 2024
Last updated in NPPESJuly 15, 2024
Certification dateJuly 14, 2024

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