Healthcare Provider Details

I. General information

NPI: 1861949877
Provider Name (Legal Business Name): DR. ANITA SAAVEDRA HERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANITA ZENDEJAS SAAVEDRA

II. Dates (important events)

Enumeration Date: 09/07/2016
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 W LA VETA AVE STE 470
ORANGE CA
92868-4233
US

IV. Provider business mailing address

1120 W LA VETA AVE STE 470
ORANGE CA
92868-4233
US

V. Phone/Fax

Practice location:
  • Phone: 714-509-8481
  • Fax:
Mailing address:
  • Phone: 714-509-8233
  • Fax: 714-509-8756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number33781
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: