Healthcare Provider Details

I. General information

NPI: 1114704194
Provider Name (Legal Business Name): ANABELA CARDIEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2023
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 N K ST
TULARE CA
93274-4005
US

IV. Provider business mailing address

209 N K ST
TULARE CA
93274-4005
US

V. Phone/Fax

Practice location:
  • Phone: 559-256-7616
  • Fax: 559-521-9310
Mailing address:
  • Phone: 559-256-7616
  • Fax: 559-521-9310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: