Individual
LUCIAN MAZORRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1515 N ALEXANDRIA AVE, LOS ANGELES, CA 90027-5203
(310) 660-1800
Mailing address
1515 N ALEXANDRIA AVE, LOS ANGELES, CA 90027-5203
(310) 660-1800
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 5031
CA
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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