Organization
JOHN D PLUT MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PLUT (PRESIDENT)
(310) 316-6600
Entity
Organization
Contact information
Practice address
3475 TORRANCE BLVD, F, TORRANCE, CA 90503-5800
(310) 316-6600
Mailing address
PO BOX 1160, TORRANCE, CA 90505-0160
(310) 641-5361
(310) 645-3900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G19420
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G194200
—
CA
01
—
G19420
MEDICARE PROVIDER NUMBER
CA
Enumeration date
10/19/2006
Last updated
01/05/2011
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