Individual
LUCIA LOREDANA DATTOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2655 1ST ST STE 360, SIMI VALLEY, CA 93065-1581
(805) 583-7640
(805) 583-7641
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A87809
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A878090
—
CA
Enumeration date
06/25/2007
Last updated
08/14/2019
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