| Doctor Name: | LUISITA V ANICETE |
| NPI Number: | 1720123623 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | A45134 |
| Business Practice Address: | 11721 Telegraph Rd Santa Fe Springs, CA - 906703674 |
| Business Phone Number: | 5629498455 |
| Business Fax Number: | |
| Mailing Address: | 16623 Mount Michaelis Cir, FOUNTAIN VALLEY |
| State: | CA |
| Postal Code: | 927082644 |
| Phone Number: | 7145310564 |
| Fax Number: | |
| NPI Enumeration Date: | 02/20/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A45134 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |