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NPI Code Detail

MEDICARE: ANA CELINA WILLIAMS

MEDICARE: ANA CELINA WILLIAMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC0400XCase Management Registered NurseRN95216703CA

General Provider Information

NPI Number : 1114564101
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA CELINA WILLIAMS
Provider Business Mailing Address
First Line : 5530 OVERLAND AVE STE 150
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-1261
Country : US
Telephone Number : 619-528-4000
Fax Number : 858-514-6514
Provider Business Practice Location Address
First Line : 5530 OVERLAND AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-1260
Country : US
Telephone Number : 619-528-4000
Fax Number : 858-514-6514
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2019
Last Update Date : 06/02/2026

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Directions to “ ANA CELINA WILLIAMS ” Practice Location

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