Individual
ALMA BOCANEGRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2122 W 107TH ST, LOS ANGELES, CA 90047-4305
Mailing address
5731 W SLAUSON AVE STE 210, CULVER CITY, CA 90230-6982
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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