Healthcare Provider Details

I. General information

NPI: 1801044862
Provider Name (Legal Business Name): ANNA MONIQUE HALBEISEN D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2008
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:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number20A12902
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number20A12902
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207PS0010X
TaxonomySports Medicine (Emergency Medicine) Physician
License Number20A12902
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: