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1639600638
VIVY TRAN CUSUMANO
SANTA MONICA, CA
NPI
1639600638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: CA A158805)
Enumeration Date
2017-03-22
Last Update Date
2023-08-01
Business Address
VIVY TRAN CUSUMANO
1223 16TH ST STE 3100
SANTA MONICA, CA 90404-1275
Phone number: 310-582-6240
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Mailing Address
VIVY TRAN CUSUMANO
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: 310-301-8707
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