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Individual

ANDREA PANAMENO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
20101 HAMILTON AVE STE 155, TORRANCE, CA 90502-1314
(310) 684-0375
Mailing address
2601 E VICTORIA ST SPC 420, RANCHO DOMINGUEZ, CA 90220-6815
(310) 684-0375

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CA
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
CA
172V00000X
Community Health Worker
373H00000X
Day Training/Habilitation Specialist
Primary
CA

Other

Enumeration date
08/23/2021
Last updated
03/03/2026
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