MEDICARE: XOCHIL M ANAMA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	125325	CA

General Provider Information

NPI Number	:	1013734136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XOCHIL M ANAMA

Provider Business Mailing Address
First Line	:	1011 BALDWIN PARK BLVD
Second Line	:
City	:	BALDWIN PARK
State	:	CA
Zip	:	91706-5806
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14902 WALBROOK DR
Second Line	:
City	:	HACIENDA HEIGHTS
State	:	CA
Zip	:	91745-1346
Country	:	US
Telephone Number	:	323-240-9555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2024
Last Update Date	:	10/17/2025

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