Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Jun 24, 2006
License(s)
A46287 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 4148 | Torrance, CA 90510-4148 | 310-792-3914 |
| LOCATION | 3445 PACIFIC COAST HWY SUITE #110 | Torrance, CA 90505-6658 | 310-325-4555 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.