Individual
ANNA CHARLOTTA LA VIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2001 SANTA MONICA BLVD, SUITE 11180W, SANTA MONICA, CA 90404-2102
(310) 829-5550
(310) 829-5502
Mailing address
2001 SANTA MONICA BLVD, SUITE 11180W, SANTA MONICA, CA 90404-2102
(310) 829-5550
(310) 829-5502
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A72001
CA
Other
Enumeration date
08/18/2006
Last updated
02/24/2011
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