Individual
JOSE ELIASIB ANGUEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RCP
Contact information
Practice address
8110 WOODMAN AVE BLDG 5, PANORAMA CITY, CA 91402
(818) 815-6139
Mailing address
8110 WOODMAN AVE BLDG 5, PANORAMA CITY, CA 91402
(818) 815-6130
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
11895
CA
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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