Individual
CARLISA A DORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 S DETROIT ST, SUITE 404, LOS ANGELES, CA 90036-3527
(323) 272-3615
Mailing address
400 S DETROIT ST, SUITE 404, LOS ANGELES, CA 90036-3527
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00356700
NJ
363A00000X
Physician Assistant
Primary
PA20333
CA
Other
Enumeration date
12/18/2012
Last updated
11/19/2024
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