De Anda, Fernando

De Anda, Fernando is an individual health care provider with primary practice located at 1430 Freedom Blvd Ste F , Watsonville CA 95076-2752. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. De Anda, Fernando can be contacted via phone (831) 763-8200.

Contact Information

Primary practice address
1430 Freedom Blvd Ste F Watsonville CA 95076-2752
Phone: (831) 763-8200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1053515817
LBN Legal business name De Anda, Fernando
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated May 24th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053515817 NPPES
California Other A6489688 D.L

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