# LOS ANGELES DIABETES ASSOCIATES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396094207
- **Authorized official:** CHRISTIAN GASTELUM M.D. (OWNER / PHYSICIAN)
- **Authorized official phone:** (626) 252-5559

## Contact information

- **Practice address:** 1701 E CESAR E CHAVEZ AVE STE 306, LOS ANGELES, CA 90033-2475
- **Practice address phone:** (626) 252-5559
- **Mailing address:** PO BOX 86326, LOS ANGELES, CA 90086-0326
- **Mailing address phone:** (626) 252-5559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | A74589 | CA | Yes |

## Other

- **Enumeration date:** 09/06/2012
- **Last updated:** 04/16/2013
