Individual
MR. ANTHONY ROBERT CACIOPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
808 W 58TH ST, LOS ANGELES, CA 90037-3632
(323) 541-1411
Mailing address
808 W 58TH ST, LOS ANGELES, CA 90037-3632
(323) 541-1600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA63326
CA
Other
Enumeration date
09/07/2023
Last updated
04/17/2024
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