Gabriela D Anzo
Individual provider Active NPI Licensed Psychiatric Technician · La Verne, CA
NPI 1689950784 · NPPES record last updated Nov 2, 2011
Key facts
- NPI
- 1689950784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Psychiatric Technician 167G00000X
- License
- 35540 (CA)
- Practice address
- 233 Baseline Rd
La Verne, CA 91750-2353 - Phone
- (909) 593-2581
- NPI assigned
- Nov 2, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | 35540 | CA | Yes |
Addresses
Primary practice location
233 Baseline Rd
La Verne, CA 91750-2353
Mailing address
PO Box 400
La Verne, CA 91750-0400
Phone (909) 593-2581
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 756A | Other | CA | OUTPATIENT MENTAL HEALTH |
Other providers in La Verne, CA
- Ashley Brianna Anaya
- Maureen Elizabeth Andrade
- Yesenia Anguiano
- Chioma Jessica Aniwigbo
- Paul Antonis
- Apex Care Enterprise LLC
- Michelle Aranda
- Mara Renee Archambault
- Cynthia Archer
- Luis Arellano Jr.
All providers in La Verne, CA · Licensed Psychiatric Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.