Individual
ALICIA LA VONNE EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4650 W SUNSET BLVD, MS #94, LOS ANGELES, CA 90027-6062
(323) 361-6177
(323) 361-8106
Mailing address
4650 W SUNSET BLVD, MS #94, LOS ANGELES, CA 90027-6062
(323) 361-6177
(323) 361-8106
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A70767
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A707670
—
CA
Enumeration date
07/06/2007
Last updated
08/14/2014
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