Individual
ANDREW ALBERTO PANTOJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
5300 ANGELES VISTA BLVD, VIEW PARK, CA 90043-1648
(323) 295-4555
Mailing address
1045 BONITA AVE, LA VERNE, CA 91750-5109
(310) 912-2021
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
147557
CA
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
04/05/2019
Last updated
07/31/2024
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