Individual
DR. NOVARRO CHAMELEON STAFFORD SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 NORTH STATE STREET, LOS ANGELES, CA 90033
(323) 409-4597
Mailing address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(323) 409-4597
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
G17320
CA
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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