Healthcare Provider Details

I. General information

NPI: 1588501027
Provider Name (Legal Business Name): BRITTNEY MICHELE ANCHONDO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 NEWPORT BLVD STE 360
COSTA MESA CA
92627-3786
US

IV. Provider business mailing address

12172 BLUE SKY CT
WHITTIER CA
90602-1083
US

V. Phone/Fax

Practice location:
  • Phone: 949-515-7337
  • Fax:
Mailing address:
  • Phone: 562-754-1603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number95036013
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: