Provider Demographics
NPI:1831835297
Name:ANFANI HEALTH LLC
Entity type:Organization
Organization Name:ANFANI HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR 1
Authorized Official - Prefix:DR
Authorized Official - First Name:OLUWATOYIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FAFOWORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-227-6017
Mailing Address - Street 1:57 PACIFIC CRST
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-2420
Mailing Address - Country:US
Mailing Address - Phone:310-227-6017
Mailing Address - Fax:
Practice Address - Street 1:57 PACIFIC CRST
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92602-2420
Practice Address - Country:US
Practice Address - Phone:310-227-6017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPM4175OtherREGIONAL CENTER OF ORANGE COUNTY