Healthcare Provider Details

I. General information

NPI: 1417879768
Provider Name (Legal Business Name): ANTHONY FLOWERS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1968 S COAST HWY STE 1390
LAGUNA BEACH CA
92651-3681
US

IV. Provider business mailing address

45952 DESERT SPRINGS DR
LANCASTER CA
93534-1508
US

V. Phone/Fax

Practice location:
  • Phone: 800-430-4490
  • Fax:
Mailing address:
  • Phone: 661-429-0935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: