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Individual

KAREN ELAINE MERCOLA

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9735 WILSHIRE BLVD, STE 400, BEVERLY HILLS, CA 90212-2103
(310) 859-4948
(310) 391-2660
Mailing address
9735 WILSHIRE BLVD, STE 400, BEVERLY HILLS, CA 90212-2103
(310) 859-4948
(310) 391-2660

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G30394
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G303940
CA
Enumeration date
06/28/2005
Last updated
07/08/2007
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