Organization
LODESPOTO MEDICAL OF CALIFORNIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LODESPOTO MD (OWNER)
(631) 446-4700
Entity
Organization
Contact information
Practice address
19800 MACARTHUR BLVD STE 300, IRVINE, CA 92612-2479
(631) 446-4700
(888) 972-3585
Mailing address
PO BOX 958, PORT JEFFERSON STATION, NY 11776-0811
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
G89396
CA
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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