MARIBELLE REVILLA KIM

PANORAMA CITY, CA
NPI1760541353
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  20A7893)
Enumeration Date2006-12-08
Last Update Date2008-09-23
Business Address
MARIBELLE REVILLA KIM DO
13652 CANTARA ST
PANORAMA CITY, CA 91402-5423
Phone number: 818-375-2000
Mailing Address
MARIBELLE REVILLA KIM DO
13652 CANTARA ST
PANORAMA CITY, CA 91402-5423
Phone number: 818-375-2000