Individual
LYVEN DAVID PEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 N. STATE ST, LOS ANGELES, CA 90033
(323) 409-1679
Mailing address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
33060
—
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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