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Organization
PETER F GIACOBAZZI MD INC A MED CORP
Active
Organization
PETER F GIACOBAZZI MD INC A MED CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER F. GIACOBAZZI M.D. (PRESIDENT)
(818) 342-4541
Entity
Organization
Contact information
Practice address
18372 CLARK ST STE 204, TARZANA, CA 91356-3554
(818) 342-4541
(818) 342-2403
Mailing address
18372 CLARK ST STE 204, TARZANA, CA 91356-3554
(818) 342-4541
(818) 342-2403
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G18175
CA
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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