Individual
MABEL MORA LAVERGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4733 W SUNSET BLVD FL 3, LOS ANGELES, CA 90027-6021
(323) 783-4516
(866) 455-3867
Mailing address
4733 W SUNSET BLVD FL 3, LOS ANGELES, CA 90027-6021
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A142886
CA
Other
Enumeration date
03/27/2014
Last updated
04/09/2024
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