Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Apr 3, 2017
License(s)
A171988 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 8700 BEVERLY BLVD | West Hollywood, CA 90048-1804 | 310-423-1447 |
| MAILING | 155 N FRESNO ST | Fresno, CA 93701-2302 | 559-499-6500 |
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