MARK PUSHIN

LOS ANGELES, CA
NPI1275659278
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  A53464)
Enumeration Date2007-03-21
Last Update Date2013-06-14
Business Address
-- MARK PUSHIN
4211 AVALON BLVD
LOS ANGELES, CA 90011-5622
Phone number: 323-432-5185
Mailing Address
-- MARK PUSHIN
PO BOX 480978
LOS ANGELES, CA 90048-9578
Phone number: 323-719-2019
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