Individual
ALEC CARMONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4618 TOWNSEND AVE, LOS ANGELES, CA 90041-2861
(323) 394-4341
Mailing address
4618 TOWNSEND AVE, LOS ANGELES, CA 90041-2861
(323) 394-4341
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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