Individual
DEAN MICHAEL ANSELMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 660-2450
Mailing address
6430 W SUNSET BLVD STE 600, LOS ANGELES, CA 90028-7909
(323) 669-2337
(323) 644-8491
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A70021
CA
2086S0120X
Pediatric Surgery Physician
Primary
A70021
CA
Other
Enumeration date
05/16/2007
Last updated
01/26/2018
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