Individual
MR. ANTHONY R VENTURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PPS
Contact information
Practice address
6305 WOODMAN AVE, VAN NUYS, CA 91401-2346
(818) 908-4999
Mailing address
7249 ANATOLA AVE, LAKE BALBOA, CA 91406-2301
(818) 644-2166
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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