Individual
AVA CICIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3848 W CARSON ST STE 110, TORRANCE, CA 90503-6704
(424) 488-3191
(310) 933-4803
Mailing address
3848 W CARSON ST STE 110, TORRANCE, CA 90503-6704
(424) 488-3191
(310) 933-4803
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
304430
CA
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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