Healthcare Provider Details

I. General information

NPI: 1861180861
Provider Name (Legal Business Name): JOANNA ANAYA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2023
Last Update Date: 04/27/2023
Certification Date: 04/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 WHITE LN
BAKERSFIELD CA
93309-7688
US

IV. Provider business mailing address

9809 RANCHO VERDE DR
BAKERSFIELD CA
93311-3009
US

V. Phone/Fax

Practice location:
  • Phone: 661-837-2198
  • Fax:
Mailing address:
  • Phone: 661-477-2485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberTCH110901
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: