| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MICHAEL XAVIER PANAMENO | 1346949674 | 2024-06-09 |
Michael Xavier Panameno is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1346949674. Registration indicates Michael Xavier Panameno is a provider of access to mental health/behavioral health providers services with a specialization in Allopathic & Osteopathic Physicians, Psychiatry & Neurology (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Psychiatry & Neurology: Psychiatry, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychiatry & Neurology Psychiatry, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, ) (Specialist, ) (Other Service Providers, Specialist) (All Other Specialties & Provider Types, ) (Specialist, Other Service Providers) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Michael Xavier Panameno |
| Practice Office Address | 4211 AVALON BLVD LOS ANGELES, CA US |
| Practice Office Telephone | 3235634800 |
| Mailing Address | 4211 AVALON BLVD LOS ANGELES, CA 900115622 US |
| Code | Practice | License No State |
|---|---|---|
| 2084P0800X | Access to Mental Health/Behavioral Health Providers Allopathic & Osteopathic Physicians Psychiatry & Neurology Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry & Neurology: Psychiatry Behavioral Health/Substance Abuse/Psychiatry Psychiatry & Neurology Psychiatry Allopathic & Osteopathic Physicians Psychiatry & Neurology | PTL12217
CA |
| 174400000X | Specialist Other Service Providers Specialist All Other Specialties & Provider Types Specialist Other Service Providers | |
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |