BRANDIE LASALA

MISSION VIEJO, CA
NPI1679894646
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: PA  MT198165)
Enumeration Date2010-06-14
Last Update Date2019-11-01
Business Address
BRANDIE LASALA MD
26161 LA PAZ RD STE 115
MISSION VIEJO, CA 92691-5334
Phone number: 949-206-0001
Mailing Address
BRANDIE LASALA MD
26161 LA PAZ RD STE 115
MISSION VIEJO, CA 92691-5334
Phone number: 717-531-8521
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