Individual
DR. AMOS KELLY LADOUCEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3750 SANTA ROSALIA DR STE 1, LOS ANGELES, CA 90008-3627
(310) 910-7221
(310) 910-7188
Mailing address
5419 HOLLYWOOD BLVD STE 224, LOS ANGELES, CA 90027-3480
(267) 648-9308
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A105408
CA
Other
Enumeration date
01/03/2011
Last updated
09/22/2023
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