363LW0102X
Los Angeles, CA
Specialty
363LW0102X
Credential
NP
NPI
1366833741
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 363lw0102x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LW0102X
Martin Luther King Jr Ambulatory Surgical Center
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