Most Relevant Information
Provider Data
| NPI Number: | 1003390550 |
| Provider Name: | ANTHONY CHASE IN WINTER |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/20/2018 |
| Last Updated: | 09/20/2018 |
Provider Practice Location
1125 W 6TH ST
LOS ANGELES
CA
900171833
Practice Location Phone/Fax
| Phone: | 2132023970 |
| Fax: |
Provider Mailing Location
1125 W 6TH ST
LOS ANGELES
CA
900171833
Provider Mailing Phone/Fax
| Phone: | 2132023970 |
| Fax: |