Individual
EMMANUEL BUAKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 ZONAL AVE, LOS ANGELES, CA 90033-1065
(323) 223-6298
Mailing address
4510 PINAFORE ST APT 10, LOS ANGELES, CA 90008-2210
(323) 395-6483
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT36991
CA
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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