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1992742886
ILLUMINADA BETITA
LOS ANGELES, CA
NPI
1992742886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA C43181)
Enumeration Date
2006-06-01
Last Update Date
2007-07-08
Business Address
Mrs. ILLUMINADA BETITA M.D.
4448 YORK BLVD
LOS ANGELES, CA 90041-3328
Phone number: 323-344-5233
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Mailing Address
Mrs. ILLUMINADA BETITA M.D.
1300 N VERMONT AVE SUITE 1002
LOS ANGELES, CA 90027-6005
Phone number: 323-953-7341
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