Individual
CHRISANTA TOMANENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3200
Mailing address
35234 LUAU ST, WINCHESTER, CA 92596-8375
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA64584
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/07/2022
Last updated
06/17/2024
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