MARK ANANTIYO
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Psychiatry
Provider Information
- NPI Number
1245958453- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 309 E 2ND ST, POMONA, CA, 917661854
- Phone
- (909) 623-6111
Specialties & Taxonomies
Physician Assistant
Psychiatry & Neurology, Psychiatry
Primary License: CA #PA61663
All Addresses
MAILING
7617 E HOLLOW OAK RD
ANAHEIM, CA, 928081426