Organization
ALICE FRAUSTO,M,D,,INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICE FRAUSTO M,D, (OWNER)
(818) 242-3445
Entity
Organization
Contact information
Practice address
1560 E CHEVY CHASE DR, SUITE 200, GLENDALE, CA 91206-4197
(818) 242-3445
Mailing address
1560 E CHEVY CHASE DR, SUITE 200, GLENDALE, CA 91206-4197
(818) 242-3445
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
G41454
CA
Other
Enumeration date
05/08/2007
Last updated
08/22/2020
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