Individual
ANGEL JONATHAN BAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1720 E 120TH ST, LOS ANGELES, CA 90059-3052
(562) 837-5137
Mailing address
13229 BARLIN AVE, DOWNEY, CA 90242-5103
(562) 837-5137
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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