Search › California › 225X00000X
Carlos Ancona
NPI 1225857725 · on the registry since 2024 · sole proprietor
Practice
- Address
- 3745 Overland Ave
Los Angeles, CA 90034 - Phone
- (310) 392-5855
- Organisation at this address
- Step Up On Second Street, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 22
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California