Healthcare Provider Details

I. General information

NPI: 1104584804
Provider Name (Legal Business Name): ANNA ELISE LOPRIENO MA, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2021
Last Update Date: 05/03/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17752 SKY PARK CIR STE 245
IRVINE CA
92614-4478
US

IV. Provider business mailing address

37 AUBURN AVE
SIERRA MADRE CA
91024-1844
US

V. Phone/Fax

Practice location:
  • Phone: 949-229-7953
  • Fax:
Mailing address:
  • Phone: 626-470-9834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number141806
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: