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1053320002
CHARLES ELLIS MOSS FISHER
LOS ANGELES, CA
NPI
1053320002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: CA G16541)
Enumeration Date
2006-08-07
Last Update Date
2007-07-08
Business Address
Dr. CHARLES ELLIS MOSS FISHER M.D.
12021 S. WILMINGTON AVE
LOS ANGELES, CA 90059
Phone number: 562-427-5363
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Mailing Address
Dr. CHARLES ELLIS MOSS FISHER M.D.
12021 S. WILMINGTON AVE
LOS ANGELES, CA 90059
Phone number: 562-427-5363
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