Individual
ANTONIO RECINOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5849 CROCKER ST, LOS ANGELES, CA 90003-1311
(323) 432-4399
Mailing address
5849 CROCKER ST, LOS ANGELES, CA 90003-1311
(323) 432-4399
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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