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Individual

DR. JOSEPH ROCCO PISEGNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 MEDICAL PLAZA, #365,530,420,120, LOS ANGELES, CA 90095
(310) 794-9718
Mailing address
834 26TH ST, SANTA MONICA, CA 90403-2202
(310) 268-3578
(310) 268-4096

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G72435
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G724350
MEDICAL PPIN #
CA
Enumeration date
07/19/2006
Last updated
07/08/2007
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