Individual
CAROLINE HAVEN HUMPHREYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
757 WESTWOOD PLZ, EMERGENCY MEDICINE, LOS ANGELES, CA 90095-7419
(310) 794-0785
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A160956
CA
Other
Enumeration date
03/29/2017
Last updated
06/09/2021
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