Mr. Anthony Ray Wallace

Individual provider Case Management Agency · NPI 1851574347

Mr. Anthony Ray Wallace is a Case Management Agency in East los Angeles, California. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since: 2007

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Practice location Address checks out

4849 Civic Center Way
East los Angeles, CA 90022
Phone: (323) 780-2125

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary)	Taxonomy 251B00000X

Record details

NPI number	1851574347
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	December 7, 2007
Last updated in NPPES	December 7, 2007