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1780317412
BENJAMIN PETER CIOPPA-FONG
LOS ANGELES, CA
NPI
1780317412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95021266)
Enumeration Date
2022-07-09
Last Update Date
2022-09-16
Business Address
BENJAMIN PETER CIOPPA-FONG NP
1891 EFFIE ST
LOS ANGELES, CA 90026-1711
Phone number: 323-644-2000
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Mailing Address
BENJAMIN PETER CIOPPA-FONG NP
1891 EFFIE ST
LOS ANGELES, CA 90026-1711
Phone number: 323-644-2000
Copy
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