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Organization
LOS ANGELES DIABETES ASSOCIATES, INC.
Active
Organization
LOS ANGELES DIABETES ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN GASTELUM M.D. (OWNER / PHYSICIAN)
(626) 252-5559
Entity
Organization
Contact information
Practice address
1701 E CESAR E CHAVEZ AVE STE 306, LOS ANGELES, CA 90033-2475
(626) 252-5559
Mailing address
PO BOX 86326, LOS ANGELES, CA 90086-0326
(626) 252-5559
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A74589
CA
Other
Enumeration date
09/06/2012
Last updated
04/16/2013
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