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Individual

JAMES EDWARD SPAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 MED PLZ, LOS ANGELES, CA 90095-0001
(310) 825-9989
Mailing address
FILE 2939, LOS ANGELES, CA 90074-0001
(310) 825-9989

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
G24955
CA
2084P0800X
Psychiatry Physician
Primary
G24955
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G249550
MEDI-CAL
CA
Enumeration date
07/14/2006
Last updated
04/20/2010
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