MEDICARE: ANZHELIKA SLOBODYANYUK

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

General Provider Information

NPI Number	:	1740126705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANZHELIKA SLOBODYANYUK

Provider Business Mailing Address
First Line	:	4375 TOWN CENTER BLVD
Second Line	:	#2323
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762
Country	:	US
Telephone Number	:	916-990-3813
Fax Number	:

Provider Business Practice Location Address
First Line	:	4375 TOWN CENTER BLVD
Second Line	:	#2323
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762
Country	:	US
Telephone Number	:	916-990-3813
Fax Number	:

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

Provider Enumeration Date	:	04/23/2026
Last Update Date	:	04/24/2026

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Directions to “ ANZHELIKA SLOBODYANYUK ” Practice Location

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