Individual
MR. ANTHONY WARD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1200 WILSHIRE BLVD, LOS ANGELES, CA 90017-1908
(213) 481-7464
Mailing address
1200 WILSHIRE BLVD, STE 210, LOS ANGELES, CA 90017-1931
(213) 481-7464
(213) 481-7147
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
693049
CA
363LF0000X
Family Nurse Practitioner
95002238
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
693049
CA
Other
Enumeration date
03/18/2016
Last updated
09/07/2017
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