MEDICARE: HEBER ANGUIANO

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	171M00000X	Case Manager/Care Coordinator		CA

General Provider Information

NPI Number	:	1023132602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEBER ANGUIANO

Provider Business Mailing Address
First Line	:	615 W CIVIC CENTER DR
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92701-4006
Country	:	US
Telephone Number	:	714-795-3444
Fax Number	:

Provider Business Practice Location Address
First Line	:	615 W CIVIC CENTER DR
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92701-4006
Country	:	US
Telephone Number	:	714-795-3444
Fax Number	:

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

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	09/06/2023

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Directions to “ HEBER ANGUIANO ” Practice Location

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