| Doctor Name: | ANA SOFIA CERVANTES |
| NPI Number: | 1194856716 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ACSW |
| License Number: | ASW 31321 |
| Business Practice Address: | 21520 Pioneer Blvd Ste 110 Hawaiian Gardens, CA - 907162604 |
| Business Phone Number: | 5627540200 |
| Business Fax Number: | |
| Mailing Address: | 4378 Clara St Apt 3, CUDAHY |
| State: | CA |
| Postal Code: | 902015096 |
| Phone Number: | 3234967172 |
| Fax Number: | |
| NPI Enumeration Date: | 03/07/2007 |
| NPI Last Update Date: | 10/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | ASW 31321 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |