Individual
EMILY LAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 W 5TH ST STE 209, SAN PEDRO, CA 90731-2752
(310) 521-6386
Mailing address
6106 PICKFORD ST APT 1, LOS ANGELES, CA 90035-4566
(310) 562-9881
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
58632
CA
Other
Enumeration date
07/09/2020
Last updated
03/20/2024
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