Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
Mar 25, 2015
License(s)
A145676 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1450 SAN PABLO ST STE 2000 | Los Angeles, CA 90033-5331 | 323-442-6200 |
| MAILING | PO BOX 31309 | Los Angeles, CA 90031-0309 | 323-442-6200 |
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.