Individual
DANILO RECENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4165 YORK BLVD, LOS ANGELES, CA 90065-4639
(213) 446-0034
Mailing address
4165 YORK BLVD, LOS ANGELES, CA 90065-4639
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9868
CA
Other
Enumeration date
10/05/2018
Last updated
02/19/2020
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