Individual
ANTONY MACIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, ACNP-BC, CNS
Contact information
Practice address
1520 SAN PABLO ST STE 1000, LOS ANGELES, CA 90033-5312
(323) 442-5100
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5100
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
22534
CA
364SA2100X
Acute Care Clinical Nurse Specialist
3889
CA
Other
Enumeration date
11/21/2012
Last updated
11/27/2023
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