Individual
ANNABELLE DE ST. MAURICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 825-0867
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MT193625
PA
2080P0208X
Pediatric Infectious Diseases Physician
Primary
A149993
CA
Other
Enumeration date
07/26/2010
Last updated
07/21/2022
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