Individual
CHRISTOS DEMETRIS PHOTOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6801 PARK TER, LOS ANGELES, CA 90045-1543
(617) 640-9647
(888) 813-6025
Mailing address
6801 PARK TER, LOS ANGELES, CA 90045-1543
(617) 640-9647
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MT197460
PA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A137406
CA
390200000X
Student in an Organized Health Care Education/Training Program
MT197460
PA
Other
Enumeration date
05/14/2010
Last updated
02/04/2021
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