Search › California › 167G00000X
Anthony Desanto-Kelly, LICENSE PYSCH TECH 3
NPI 1417047069 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3501 N Lakewood Blvd
Long Beach, CA 90808 - Phone
- (562) 570-7119
Registry record
- Primary taxonomy
- 167G00000X
167G00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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