Organization
LORI A MUSTO, DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI MUSTO DO (DO)
(310) 454-1212
Entity
Organization
Contact information
Practice address
881 ALMA REAL DR STE 110, PACIFIC PALISADES, CA 90272-5008
(310) 454-1212
Mailing address
881 ALMA REAL DR STE 110, PACIFIC PALISADES, CA 90272-5008
(310) 454-1212
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A6735
LICENSE NUMBER
CA
Enumeration date
05/28/2020
Last updated
05/28/2020
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