Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ANTHONY DESANTO-KELLY, LICENSE PYSCH TECH 3
Active Sole ProprietorLicensed Genetic Counselor · LONG BEACH, CA
Registration Details
- NPI Number
- 1417047069
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 13, 2006 (19.522502783239 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PT24452 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3501 N LAKEWOOD BLVDLONG BEACH, CA, 908081736Browse CA providers · Browse ZIP 90808
- Phone
- 5625707119
- Primary Specialty
-
Licensed Genetic Counselor
167G00000X
Other Licensed Genetic Counselor Providers in LONG BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| MS. MICHELE D TYLER | PTII | 1538236815 |
| ALFRED JAMESON III BOATWRIGHT | — | 1750599080 |
| PAULA JANE OTERO | — | 1407054737 |
| MS. TAMMY ANN JAVONILLO | LICENSED PSYCH TECH | 1972794485 |
| JOHN GIBSON | — | 1114190667 |
| JEANNIE LOURAINE RUDLEY | LPT | 1487813218 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.