Individual
ANUM IQBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1731 E 120TH ST, LOS ANGELES, CA 90059-3051
(323) 563-9373
Mailing address
1731 E 120TH ST, LOS ANGELES, CA 90059-3051
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
CA
174H00000X
Health Educator
—
—
2084P0800X
Psychiatry Physician
Primary
A184174
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/17/2020
Last updated
06/29/2023
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