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Individual

CYRIL SERGEI GARY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 MEDICAL PLAZA SUITE 170, LOS ANGELES, CA 90095-2113
(310) 319-1234
(202) 444-7204
Mailing address
100 MEDICAL PLAZA SUITE 170, LOS ANGELES, CA 90095-0001

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
A194935
CA
207X00000X
Orthopaedic Surgery Physician
Primary
A194935
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/05/2018
Last updated
07/30/2024
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