Healthcare Provider Details

I. General information

NPI: 1184406373
Provider Name (Legal Business Name): ANAYMEE CIFUENTES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2023
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9621 CANOGA AVE
CHATSWORTH CA
91311-4115
US

IV. Provider business mailing address

9621 CANOGA AVE
CHATSWORTH CA
91311-4115
US

V. Phone/Fax

Practice location:
  • Phone: 747-213-0239
  • Fax:
Mailing address:
  • Phone: 747-213-0239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT144051
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT157766
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: