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1376012567
CARL EVAN MASCARINAS BIRONDO
SANTA MONICA, CA
NPI
1376012567
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95010351)
Enumeration Date
2018-11-16
Last Update Date
2022-06-14
Business Address
Mr. CARL EVAN MASCARINAS BIRONDO NP-C
2121 WILSHIRE BLVD STE 303
SANTA MONICA, CA 90403-5743
Phone number: 888-777-1945
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Mailing Address
Mr. CARL EVAN MASCARINAS BIRONDO NP-C
4441 ELIZABETH ST
CUDAHY, CA 90201-5725
Phone number: 213-399-7948
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