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Individual

GENTIAN LLURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 MEDICAL PLAZA DRIVEWAY SUITE 630, LOS ANGELES, CA 90095-7232
(310) 794-9629
Mailing address
221 W NATOMA AVE, ADDISON, IL 60101-3505

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
114499
CA
207RC0000X
Cardiovascular Disease Physician
CA114499
CA
207RI0011X
Interventional Cardiology Physician
Primary
114499
CA

Other

Enumeration date
04/17/2008
Last updated
11/26/2018
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