Individual
KENNETH ALLEN MUNOZ-PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1171 E ALOSTA AVE # 342, AZUSA, CA 91702-2740
(626) 802-7699
(626) 415-6770
Mailing address
1171 E ALOSTA AVE # 342, AZUSA, CA 91702-2740
(626) 802-7699
(626) 415-6770
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
171M00000X
Case Manager/Care Coordinator
—
CA
246Y00000X
Health Information Specialist/Technologist
Primary
—
CA
Other
Enumeration date
03/17/2020
Last updated
07/23/2024
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