Individual
DARWIN PELEN BOLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 ZONAL AVE, LOS ANGELES, CA 90033-1065
(323) 843-9013
Mailing address
306 N ALVARADO ST, LOS ANGELES, CA 90026-5461
(213) 948-4972
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
43026
CA
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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