Individual
CARLOS VENEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
161 W VICTORIA ST # 105, LONG BEACH, CA 90805-2175
(310) 603-1030
Mailing address
6656 ROSECRANS AVE APT 25, PARAMOUNT, CA 90723-3143
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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