Healthcare Provider Details

I. General information

NPI: 1265344337
Provider Name (Legal Business Name): ANNA MCGOWAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 MURRAY DR
EL CAJON CA
92020-5664
US

IV. Provider business mailing address

3927 LOMA ALTA DR
SAN DIEGO CA
92115-6712
US

V. Phone/Fax

Practice location:
  • Phone: 925-285-2853
  • Fax:
Mailing address:
  • Phone: 925-285-2853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number27829
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: