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Individual

CARLOS ALBERTO COSENZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 S. ALVARADO STREET, #602, LOS ANGELES, CA 90057-2354
(213) 413-2930
(213) 413-7734
Mailing address
201 S. ALVARADO STREET, #602, LOS ANGELES, CA 90057-2354
(213) 413-2930
(213) 413-7734

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A53355
CA
208600000X
Surgery Physician
A5355
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A533551
CA
Enumeration date
06/24/2006
Last updated
01/11/2011
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