Anthony Edward Avelar
Social Worker, Clinical in Los Angeles, CA. Individual provider (NPI-1).
NPI number1720394331
StatusActive
Last updated in NPPESDec 3, 2021
Details
- NPI
- 1720394331
- Entity type
- Individual (NPI-1)
- Name
- Anthony Edward Avelar
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2010
- Certification date
- Jan 27, 2021
- Last updated
- Dec 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 28366 | CA | Yes |
Practice location
8019 Compton AveLos Angeles, CA 90001-3409
Phone 323-586-7333 · Fax 424-213-4840
Mailing address
393 E Walnut St Fl 3Phr Group Provider Enrollment Unit
Pasadena, CA 91188-0001
Phone 877-608-0044 · Fax 877-514-0903
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