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Individual

MICHAEL R RECTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 UCLA MEDICAL PLZ STE 265, LOS ANGELES, CA 90095-1845
(310) 825-0867
(310) 794-5066
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
A55642
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200156100A
IN
05
64331358
KY
Enumeration date
06/20/2005
Last updated
07/31/2023
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