MICHAEL XAVIER PANAMENO

LOS ANGELES, CA
NPI1346949674
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  A199141)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
174400000X Specialist
Enumeration Date2023-02-24
Last Update Date2025-09-03
Business Address
MICHAEL XAVIER PANAMENO
4211 AVALON BLVD
LOS ANGELES, CA 90011-5622
Phone number: 323-563-4800
Mailing Address
MICHAEL XAVIER PANAMENO
1731 E 118TH ST
LOS ANGELES, CA 90059-2517
Phone number: 323-563-4800