Healthcare Provider Details

I. General information

NPI: 1932833373
Provider Name (Legal Business Name): ANA ROSA NARANJO PHARMACY TECHNICIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANA ROSA NARANJO-SORIA ANA ROSA NARANJO

II. Dates (important events)

Enumeration Date: 07/12/2022
Last Update Date: 07/12/2022
Certification Date: 07/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1670 GARNET AVE
SAN DIEGO CA
92109-3116
US

IV. Provider business mailing address

1670 GARNET AVE
SAN DIEGO CA
92109-3116
US

V. Phone/Fax

Practice location:
  • Phone: 858-270-1163
  • Fax: 858-270-1178
Mailing address:
  • Phone: 858-270-1163
  • Fax: 858-270-1178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number69568
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: