MEDICARE: MR. SANIE JOE DULDULAO ANDRES LMFT, ATR

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	106H00000X	Marriage & Family Therapist	MFC45167	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	95-2633765	OTHER	CA	MEDI-CAL

General Provider Information

NPI Number	:	1568588093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SANIE JOE DULDULAO ANDRES LMFT, ATR

Provider Business Mailing Address
First Line	:	275 BAKER ST STE A
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92626-4566
Country	:	US
Telephone Number	:	213-663-8704
Fax Number	:

Provider Business Practice Location Address
First Line	:	275 BAKER ST STE A
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92626-4566
Country	:	US
Telephone Number	:	213-663-8704
Fax Number	:

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

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	11/03/2022

Similar Medicare Providers

1053190181 — ALLISON JOY KILLOUGH
Practice Location Address:

275 BAKER ST STE A
COSTA MESA, CA
92626-4566

Practice Phone: 714-361-6760
Practice Fax:

1275657157 — DR. CAITLIN CAHILL PICKART M.D.
Practice Location Address:

275 BAKER ST STE A
COSTA MESA, CA
92626-4566

Practice Phone: 714-361-6760
Practice Fax: 714-361-6768

1619141959 — KATRINA MURATALLA
Practice Location Address:

275 BAKER ST STE A
COSTA MESA, CA
92626-4566

Practice Phone: 714-361-6760
Practice Fax: 714-361-6768

1538324033 — KEVEN PATRICK O'BRIEN
Practice Location Address:

275 BAKER ST E , SUITE A
COSTA MESA, CA
92626-4566

Practice Phone: 714-361-6760
Practice Fax: 714-361-6768

1154570927 — MS. BROOK LYNN HUGHES
Practice Location Address:

275 BAKER ST STE A
COSTA MESA, CA
92626-4566

Practice Phone: 714-361-6760
Practice Fax: 714-361-6768

1710285358 — SASHA SILL
Practice Location Address:

275 BAKER ST E
COSTA MESA, CA
92626-4566

Practice Phone: 714-361-6760
Practice Fax:

Directions to “ MR. SANIE JOE DULDULAO ANDRES LMFT, ATR” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.