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Individual

DR. CHARLES ELLIS MOSS FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12021 S. WILMINGTON AVE, LOS ANGELES, CA 90059
(562) 427-5363
(562) 427-8802
Mailing address
12021 S. WILMINGTON AVE, LOS ANGELES, CA 90059
(562) 427-5363
(562) 427-8802

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
G16541
CA

Other

Enumeration date
08/07/2006
Last updated
07/08/2007
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