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Individual

VITO K. ROCCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 MED PLAZA, 365,420,120, LOS ANGELES, CA 90024
(805) 642-6252
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
18599
TN
207RN0300X
Nephrology Physician
Primary
G52012
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3030877
TN
Enumeration date
08/18/2005
Last updated
08/09/2018
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