Healthcare Provider Details

I. General information

NPI: 1942141833
Provider Name (Legal Business Name): ANALICIA TAPIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1395 MORENA BLVD SPC 48
SAN DIEGO CA
92110-1573
US

IV. Provider business mailing address

1395 MORENA BLVD SPC 48
SAN DIEGO CA
92110-1573
US

V. Phone/Fax

Practice location:
  • Phone: 619-381-1129
  • Fax:
Mailing address:
  • Phone: 619-381-1129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101200000X
TaxonomyDrama Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: