MEDICARE: NEYDI TOVAR

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	122039	CA

General Provider Information

NPI Number	:	1477412765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEYDI TOVAR

Provider Business Mailing Address
First Line	:	401 THE CITY DR S
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-3303
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	221 N KODIAK ST
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92807-2614
Country	:	US
Telephone Number	:	714-743-3118
Fax Number	:

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

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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Directions to “ NEYDI TOVAR ” Practice Location

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