Gena Ponticelli

NPI 1265791081 · on the registry since 2012 · sole proprietor

Practice

Address: 1600 W Imperial Hwy
Los Angeles, CA 90047
Phone: (800) 777-9311
Organisation at this address: Stella High Charter Academy
Hathaway Sycamores Child And Family Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-01-10

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