Organization
ANFANI HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLUWATOYIN FAFOWORA (ADMINISTRATOR 1)
(310) 227-6017
Entity
Organization
Contact information
Practice address
57 PACIFIC CRST, IRVINE, CA 92602-2420
(310) 227-6017
Mailing address
57 PACIFIC CRST, IRVINE, CA 92602-2420
(310) 227-6017
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PM4175
REGIONAL CENTER OF ORANGE COUNTY
CA
Enumeration date
05/09/2022
Last updated
05/09/2022
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