Healthcare Provider Details

I. General information

NPI: 1336643881
Provider Name (Legal Business Name): ANNA HALBEISEN, D.O., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2018
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16950 VIA DE SANTA FE STE 117
RANCHO SANTA FE CA
92067-9600
US

IV. Provider business mailing address

16950 VIA DE SANTA FE STE 117
RANCHO SANTA FE CA
92067-9600
US

V. Phone/Fax

Practice location:
  • Phone: 858-587-1822
  • Fax: 734-749-9092
Mailing address:
  • Phone: 858-587-1822
  • Fax: 734-749-9092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number20A12902
License Number StateCA

VIII. Authorized Official

Name: DR. ANNA MONIQUE HALBEISEN
Title or Position: PHYSICIAN/OWNER
Credential: DO
Phone: 858-587-1822