Individual
MR. RICARDO PANGILINAN JOSAFAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1029 W 168TH ST APT B, GARDENA, CA 90247-5189
(310) 735-7059
Mailing address
1029 W 168TH ST APT B, GARDENA, CA 90247-5189
(310) 735-7059
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/09/2012
Last updated
06/18/2016
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