LUCAS RUSSELL CUSUMANO

LOS ANGELES, CA
NPI1619408242
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: CA  A158738)
Additional Taxonomies2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: CA  A158738)
Enumeration Date2017-03-24
Last Update Date2022-07-12
Business Address
LUCAS RUSSELL CUSUMANO
757 WESTWOOD PLAZA
LOS ANGELES, CA 90095
Phone number: 310-825-9111
Mailing Address
LUCAS RUSSELL CUSUMANO
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: