Most Relevant Information
Provider Data
| NPI Number: | 1003643206 |
| Provider Name: | ANTHONY CARMONA |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/19/2024 |
| Last Updated: | 09/19/2024 |
Provider Practice Location
1855 W KATELLA AVE STE 150
ORANGE
CA
928673432
Practice Location Phone/Fax
| Phone: | 7143993480 |
| Fax: |
Provider Mailing Location
1855 W KATELLA AVE STE 150
ORANGE
CA
928673432
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |