Provider Demographics
NPI:1154211506
Name:WARFORD, ANWAR (MHA, LMT)
Entity type:Individual
Prefix:
First Name:ANWAR
Middle Name:
Last Name:WARFORD
Suffix:
Gender:M
Credentials:MHA, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 UNION ST APT 2309
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-3689
Mailing Address - Country:US
Mailing Address - Phone:832-563-7843
Mailing Address - Fax:
Practice Address - Street 1:1011 UNION ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-3660
Practice Address - Country:US
Practice Address - Phone:832-563-7843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA92371225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist