Individual
KRISTINA LOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13701 RIVERSIDE DR, SET 606, SHERMAN OAKS, CA 91423-2430
(310) 871-0670
Mailing address
PO BOX 32587, LOS ANGELES, CA 90032-0587
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
53688
CA
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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