Healthcare Provider Details
I. General information
NPI: 1750935664
Provider Name (Legal Business Name): JULIET A ANARO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/29/2019
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2116 ARLINGTON AVE STE 100
LOS ANGELES CA
90018-1300
US
IV. Provider business mailing address
23824 HAWTHORNE BLVD STE 200
TORRANCE CA
90505-5935
US
V. Phone/Fax
- Phone: 310-791-3064
- Fax:
- Phone: 310-791-3064
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: