Individual
ANTHONY RAYMOND MAGANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R1534831023
Contact information
Practice address
2330 BEVERLY BLVD, LOS ANGELES, CA 90057-2220
(213) 744-0724
Mailing address
2330 BEVERLY BLVD, LOS ANGELES, CA 90057-2220
(213) 744-0724
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1534831023
CA
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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