Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Jan 30, 2021
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 400 W 30TH ST | Los Angeles, CA 90007-3320 | 213-284-3200 |
| LOCATION | 400 W 30TH ST | Los Angeles, CA 90007-3320 | 213-284-3200 |
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