Individual
MR. JUAN CARLOS URTECHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1224 VINE ST, LOS ANGELES, CA 90038-1612
(323) 769-6100
Mailing address
7010 SEPULVEDA BLVD APT 323, VAN NUYS, CA 91405-2984
(415) 309-5921
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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