Individual
SONY WIRIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25825 VERMONT AVE, HARBOR CITY, CA 90710-3518
(310) 325-5111
Mailing address
25825 VERMONT AVE, HARBOR CITY, CA 90710-3518
(310) 325-5111
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A76071
CA
Other
Enumeration date
11/29/2006
Last updated
11/29/2021
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