Individual
ANTONIO VEGIJA TOLENTINO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6801 PARK TER STE 200, LOS ANGELES, CA 90045-1546
(310) 665-7100
Mailing address
10400 IMPERIAL HWY APT 21, NORWALK, CA 90650-2119
(562) 229-6208
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51358
CA
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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