Individual
RAPHAEL JEREMIAH LANDOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1399 ROXBURY DR, SUITE 100, LOS ANGELES, CA 90035-4709
(310) 557-2273
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8771
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A96826
CA
207RI0200X
Infectious Disease Physician
Primary
A96826
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A968260
—
CA
Enumeration date
06/16/2006
Last updated
09/16/2021
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