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Individual

DR. JOHN J ESTRADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1245 WILSHIRE BLVD, SUITE 817, LOS ANGELES, CA 90017-4808
(213) 482-1395
(213) 482-1398
Mailing address
1245 WILSHIRE BLVD, SUITE 817, LOS ANGELES, CA 90017-4808
(213) 482-1395
(213) 482-1398

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
C27180
CA
261QM2500X
Medical Specialty Clinic/Center
Primary
C27180
CA

Other

Enumeration date
01/23/2007
Last updated
03/30/2010
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