Provider Demographics
NPI:1932368388
Name:PINEDA, ANNARHEEN SOLA (PHD)
Entity type:Individual
Prefix:
First Name:ANNARHEEN
Middle Name:SOLA
Last Name:PINEDA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:RHEENA
Other - Middle Name:
Other - Last Name:PINEDA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:808 W 58TH ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90037-3632
Mailing Address - Country:US
Mailing Address - Phone:323-541-1411
Mailing Address - Fax:323-541-1499
Practice Address - Street 1:808 W 58TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90037-3632
Practice Address - Country:US
Practice Address - Phone:323-541-1400
Practice Address - Fax:323-541-1401
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO103G00000X
CAPSY27194103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist