Healthcare Provider Details

I. General information

NPI: 1942190749
Provider Name (Legal Business Name): JULIA TERESA CRUZ ANGUIANO PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/04/2025
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 HAMPSHIRE RD STE 104
WESTLAKE VILLAGE CA
91361-2534
US

IV. Provider business mailing address

650 HAMPSHIRE RD STE 104
WESTLAKE VILLAGE CA
91361-2534
US

V. Phone/Fax

Practice location:
  • Phone: 805-790-7757
  • Fax: 805-263-4097
Mailing address:
  • Phone: 805-790-7757
  • Fax: 805-263-4097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95035868
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: