Individual
DR. MORITZ SEBASTIAN PETTENKOFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 STEIN PLAZA DRIVEWAY 3RD FLOOR, LOS ANGELES, CA 90095-0001
(310) 206-5004
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
SPI621
CA
Other
Enumeration date
06/13/2022
Last updated
09/28/2022
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