Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Jun 20, 2012
License(s)
MD461159 (PA), C178020 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1500 SAN PABLO ST FL 4 | Los Angeles, CA 90033-5313 | 323-442-7400 |
| MAILING | PO BOX 31309 | Los Angeles, CA 90031-0309 | 323-442-7400 |
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