Organization
ANTHONY CAPPELLI MD INC
Active
Other names
Camorena Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY LEE CAPPELLI M.D. (M.D.)
(562) 949-6515
Entity
Organization
Contact information
Practice address
6650 ROSEMEAD BLVD, PICO RIVERA, CA 90660-3533
(562) 949-6515
Mailing address
PO BOX 705, BELLFLOWER, CA 90707-0705
(562) 949-6515
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
G0072323
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932265287
—
CA
Enumeration date
01/27/2010
Last updated
01/04/2012
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