Individual
DANNY E POTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACSW
Contact information
Practice address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(562) 826-8000
Mailing address
888 W SANTA ANA BLVD STE 150, SANTA ANA, CA 92701-4592
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
99706
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311575142
DEPARTMENT OF VETERANS AFFAIRS
CA
Enumeration date
05/26/2022
Last updated
03/16/2023
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