Individual
PHILIP OLIVER SCUMPIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 450, LOS ANGELES, CA 90095-8344
(310) 825-6911
(310) 794-7005
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A114410
CA
207ND0900X
Dermatopathology Physician
A114410
CA
Other
Enumeration date
05/29/2009
Last updated
11/25/2019
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