Individual
LAILA I MUDERSPACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1516 SAN PABLO ST, LOS ANGELES, CA 90033-5313
(323) 276-3705
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 276-3705
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
G57989
CA
207VX0201X
Gynecologic Oncology Physician
Primary
G57989
CA
Other
Enumeration date
06/14/2005
Last updated
11/27/2023
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