Healthcare Provider Details

I. General information

NPI: 1255051496
Provider Name (Legal Business Name): ANSLEY SABIO PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2022
Last Update Date: 08/29/2022
Certification Date: 08/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 MAPLE CT STE 205
VENTURA CA
93003-9134
US

IV. Provider business mailing address

19847 STAGG ST
WINNETKA CA
91306-2653
US

V. Phone/Fax

Practice location:
  • Phone: 805-798-3723
  • Fax: 805-914-5552
Mailing address:
  • Phone: 310-266-8516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: