MAX JORDAN NGUEMENI TIAKO

LOS ANGELES, CA
NPI1124601513
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  A196376)
Enumeration Date2021-05-03
Last Update Date2024-06-25
Business Address
MAX JORDAN NGUEMENI TIAKO
200 UCLA MEDICAL PLZ STE 120
LOS ANGELES, CA 90095-6110
Phone number: 310-206-6909
Mailing Address
MAX JORDAN NGUEMENI TIAKO
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: 310-301-8707
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