SearchCalifornia225200000X

Carmen Ponce

NPI 1457905986 · on the registry since 2019 · sole proprietor

Practice

Address
4867 Sunset Ave
Los Angeles, CA 90027
Phone
(323) 783-8070

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-08-01

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