Individual
GEORGE PETER SARANTOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10833 LE CONTE AVE, STE B-186 CHS, LOS ANGELES, CA 90095-3075
(310) 794-7953
Mailing address
5767 W. CENTURY BLVD, #400, LOS ANGELES, CA 90045-5655
(310) 825-5000
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
A79016
CA
207ZP0101X
Anatomic Pathology Physician
Primary
A79016
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A790160
—
CA
Enumeration date
05/31/2006
Last updated
12/15/2010
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