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Individual

DR. CONCEPCION A REGACHO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1401 S GRAND AVE, LOS ANGELES, CA 90015-3010
(213) 748-2411
Mailing address
1401 S GRAND AVE, LOS ANGELES, CA 90015-3010
(213) 748-2411

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A39919
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A399190
CA
Enumeration date
02/08/2007
Last updated
07/08/2010
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