Organization
LAC-USC-MED-CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE DINUZZO PHYSICIAN ASSISTANT (SUPERVISOR PA)
13234096715
Entity
Organization
Contact information
Practice address
1240 N MISSION RD # 919, LOS ANGELES, CA 90033-1019
(323) 409-6715
Mailing address
1240 N. MISSION RD, #919 DEM, LOS ANGELES, CA 90033
(132) 340-9761
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
PA14057
CA
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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