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Organization

CARLA E. HERRIFORD, M.D., APC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARLA ELAINE HERRIFORD M.D. (CEO)
(310) 339-2979
Entity
Organization

Contact information

Practice address
4071 PUNTA ALTA DR, LOS ANGELES, CA 90008-1130
(310) 339-2979
(310) 339-2979
Mailing address
12021 WILMINGTON AVE, LOS ANGELES, CA 90059-3019
(310) 668-5172

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C40031
CA

Other

Enumeration date
08/12/2008
Last updated
11/02/2011
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