Luis Alberto Anzures
Individual provider Active NPI Independent Duty Corpsman · San Diego, CA
NPI 1720640972 · NPPES record last updated Jul 8, 2019
Key facts
- NPI
- 1720640972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Duty Corpsman 1710I1002X
- Practice address
- 34101 Farenholt Ave
San Diego, CA 92134-7000 - Phone
- (619) 532-7968
- NPI assigned
- Jul 8, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | Yes |
Addresses
Primary practice location
34101 Farenholt Ave
San Diego, CA 92134-7000
Mailing address
34101 Farenholt Ave
San Diego, CA 92134-7000
Phone (619) 532-7968
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97869786 | Other | CA | IDC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | luis.a.anzures.mil@mail.mil | ||
| Other URL | luis.a.anzures.mil@mail.mil |
Other providers in San Diego, CA
- Alexis Anzaldo
- Sara Naomi Anzaldo
- Lisa Anzaldua
- Alycia H Anzalone
- Rose Anzarouth
- Madelaine Anzures
- Aok Home Care Services LLC
- Dana R Aoto
- Leslie M Aoto
- Pierre S Aoukar
All providers in San Diego, CA · Independent Duty Corpsman in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2019. 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.