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1871604322
LISA D. VIDATO, M.D., INC.
SANTA MONICA, CA
NPI
1871604322
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Entity Type
Organization
Authorized Contact
LISA D. VIDATO
Owner
310-829-8202
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: CA G68685)
Enumeration Date
2006-08-31
Last Update Date
2008-03-31
Business Address
LISA D. VIDATO, M.D., INC.
1328 22ND ST
SANTA MONICA, CA 90404-2032
Phone number: 310-829-8202
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Mailing Address
LISA D. VIDATO, M.D., INC.
11999 SAN VICENTE BLVD #440
LOS ANGELES, CA 90049-5131
Phone number: 310-471-5852
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