Individual
FELIPE ANZALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2644 30TH ST STE 100, SANTA MONICA, CA 90405-3051
(310) 314-6200
Mailing address
311 CELIA ST, POMONA, CA 91768-2733
(909) 277-8717
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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