Individual
LAURA BOCANEGRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 N BROOKHURST ST STE 200, ANAHEIM, CA 92801-5229
(714) 780-0750
(714) 780-0757
Mailing address
511 N BROOKHURST ST STE 200, ANAHEIM, CA 92801-5229
(714) 780-0750
(714) 780-0757
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
05/18/2015
Last updated
04/04/2024
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