Individual
IMIR METUSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10833 LE CONTE AVE RM 231U, LOS ANGELES, CA 90095-3075
(760) 686-6282
Mailing address
6031 FOUNTAIN PARK LN APT 15, WOODLAND HILLS, CA 91367-3525
(760) 686-6282
Taxonomy
Speciality
Code
Description
License number
State
246QC1000X
Chemistry Pathology Specialist/Technologist
Primary
DRH-02018469
CA
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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