Antonia Cardona | Los Angeles, CA • PECOS Search

Antonia Cardona

Marriage & Family Therapist

Behavioral Health & Social Service Providers

1081 Westwood Blvd Ste 234, Los Angeles, CA 90024-2931

(424) 226-6039 (818) 357-4712

PECOS Enrollment

Based on the most recent information from CMS, provider Antonia Cardona does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1437707585
Provider Type
Individual
Full Name
Cardona, Antonia
Credential
AMFT

Gender
Female
Sole Proprietor
No
Enumeration Date
9/2/2019
Last Updated
9/2/2019

Contact Information

Practice Location

1081 Westwood Blvd Ste 234, Los Angeles, CA 90024-2931

Unlisted Fax

Mailing Location

4810 Hollow Corner Rd Unit 243, Culver City, CA 90230-8599

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 77431 California