LEI LEI

ENCINO, CA
NPI1881048072
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism
(Licence: CA  A168230)
Additional Taxonomies207R00000X Internal Medicine
(Licence: OH  35.135617)
Enumeration Date2016-04-14
Last Update Date2022-08-04
Business Address
LEI LEI
15503 VENTURA BLVD
ENCINO, CA 91436-3114
Phone number: 818-461-8148
Mailing Address
LEI LEI
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: