Individual
ANTHONY ANUBALU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
F.N.P
Contact information
Practice address
13320 DOTY AVE APT 280, HAWTHORNE, CA 90250-6265
(310) 469-2110
Mailing address
13320 DOTY AVE APT 280, HAWTHORNE, CA 90250-6265
(310) 469-2110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NPF95002117
CA
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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