Individual
DR. SANTIAGO DAYOAN CORPUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4643 BEVERLY BLVD STE 101, LOS ANGELES, CA 90004-3101
(323) 461-4183
(323) 461-0864
Mailing address
4643 BEVERLY BLVD STE 101, LOS ANGELES, CA 90004-3101
(323) 461-4183
(323) 461-0864
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A38757
CA
208D00000X
General Practice Physician
Primary
A38757
CA
Other
Enumeration date
03/26/2007
Last updated
12/15/2018
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