Healthcare Provider Details

I. General information

NPI: 1912029158
Provider Name (Legal Business Name): VICTOR MANUEL ANAYA PPS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 LOBELIA DR
OXNARD CA
93036-1594
US

IV. Provider business mailing address

2500 LOBELIA DR
OXNARD CA
93036-1594
US

V. Phone/Fax

Practice location:
  • Phone: 559-709-1283
  • Fax:
Mailing address:
  • Phone: 559-709-1283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: