Provider Demographics
NPI:1295577674
Name:CANALIA, CELIA
Entity type:Individual
Prefix:MS
First Name:CELIA
Middle Name:
Last Name:CANALIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2080 E 20TH ST STE 180
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-7703
Mailing Address - Country:US
Mailing Address - Phone:530-552-3839
Mailing Address - Fax:530-552-3882
Practice Address - Street 1:2080 E 20TH ST STE 180
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-7703
Practice Address - Country:US
Practice Address - Phone:530-552-3839
Practice Address - Fax:530-552-3882
Is Sole Proprietor?:No
Enumeration Date:2024-06-07
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker