Individual
ANTHONY BETTENCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-8358
(310) 825-9111
Mailing address
3180 SAWTELLE BLVD APT 201, LOS ANGELES, CA 90066-1400
(916) 622-2103
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/18/2025
Last updated
01/18/2025
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