Healthcare Provider Details

I. General information

NPI: 1073277174
Provider Name (Legal Business Name): HENEDINE CLAYND JAVIER SAEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2021
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 N ANAHEIM BLVD STE 200
ANAHEIM CA
92801-1202
US

IV. Provider business mailing address

800 E WINDSOR RD APT 14
GLENDALE CA
91205-2478
US

V. Phone/Fax

Practice location:
  • Phone: 888-499-9303
  • Fax:
Mailing address:
  • Phone: 818-726-3468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95018518
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: