Individual
DR. DAVID B AGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12414 EXPOSITION BLVD, LOS ANGELES, CA 90064-1016
(310) 272-7640
(310) 272-7656
Mailing address
12414 EXPOSITION BLVD, LOS ANGELES, CA 90064-1016
(310) 272-7650
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G85631
CA
207RX0202X
Medical Oncology Physician
Primary
G85631
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902846306
GROUP NPI
CA
01
—
GR0100430
GROUP MEDICAL
CA
01
—
W18762
GROUP MEDICARE
CA
Enumeration date
12/30/2005
Last updated
06/15/2022
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