Individual
INNA LAMPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1211 BRUNSWICK AVE, SOUTH PASADENA, CA 91030-3507
(323) 258-3060
(323) 258-1040
Mailing address
8306 WILSHIRE BLVD, #501, BEVERLY HILLS, CA 90211-2382
(310) 613-2414
(805) 494-8379
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
A50462
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A504621
—
CA
Enumeration date
06/02/2006
Last updated
08/13/2007
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