Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Jul 3, 2020
License(s)
A201927 (CA), MT220735 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1520 SAN PABLO ST STE 2000 | Los Angeles, CA 90033-5322 | 323-442-5860 |
| MAILING | PO BOX 31309 | Los Angeles, CA 90031-0309 | 323-442-5860 |
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