Healthcare Provider Details

I. General information

NPI: 1992228779
Provider Name (Legal Business Name): WARREN G ANSALDO OD, APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2017
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7038 KATELLA AVE
STANTON CA
90680-2805
US

IV. Provider business mailing address

7038 KATELLA AVE
STANTON CA
90680-2805
US

V. Phone/Fax

Practice location:
  • Phone: 714-895-4899
  • Fax:
Mailing address:
  • Phone: 714-895-4899
  • Fax: 714-895-6337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. WARREN GALANG ANSALDO
Title or Position: PRESIDENT
Credential: OD
Phone: 949-689-4332