Individual
ANTHONY EDWARD AVELAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8019 COMPTON AVE, LOS ANGELES, CA 90001-3409
(323) 586-7333
(424) 213-4840
Mailing address
393 E WALNUT ST FL 3, PHR GROUP PROVIDER ENROLLMENT UNIT, PASADENA, CA 91188-0001
(877) 608-0044
(877) 514-0903
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28366
CA
Other
Enumeration date
08/20/2010
Last updated
12/03/2021
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