LISA D. VIDATO, M.D., INC.

SANTA MONICA, CA
NPI1871604322
Entity TypeOrganization
Authorized ContactLISA D. VIDATO
Owner
310-829-8202
Organization Subpart ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: CA  G68685)
Enumeration Date2006-08-31
Last Update Date2008-03-31
Business Address
LISA D. VIDATO, M.D., INC.
1328 22ND ST
SANTA MONICA, CA 90404-2032
Phone number: 310-829-8202
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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