163WG0000X
Los Angeles, CA
Specialty
163WG0000X
Credential
RN
NPI
1760198147
1670 E 120th St, Los Angeles, CA 90059
(424) 338-1000Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 163wg0000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 163WG0000X
Martin Luther King Jr Ambulatory Surgical Center
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