Individual
ANGELO MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2265 W BROADWAY, H119, ANAHEIM, CA 92804-2313
(661) 742-6185
Mailing address
2256 W BROADWAY AVE, H119, ANAHEIM, CA 92804
(661) 742-6185
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2550
CA
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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