171100000X
Los Angeles, CA
Specialty
171100000X
Credential
L.AC.
NPI
1013260363
500 S. Virgil Ave, Los Angeles, CA 90020
(213) 738-6090Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 171100000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 171100000X