Individual
DR. ROBERTO TRAVIESO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1450 SAN PABLO ST STE 6200, LOS ANGELES, CA 90033-5331
(323) 442-7920
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-7920
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A162038
CA
Other
Enumeration date
06/06/2013
Last updated
12/08/2021
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