Individual
ALESSANDRO DE VITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20001 S RANCHO WAY, RANCHO DOMINGUEZ, CA 90220-6318
(310) 225-3244
(310) 698-7040
Mailing address
20001 S RANCHO WAY, RANCHO DOMINGUEZ, CA 90220-6318
(310) 225-3244
(310) 698-7040
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A50687
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A506870
—
CA
01
—
01067227A
PHYSICIAN LICENSE
IN
01
—
10631
PHYSICIAN LICENSE
NV
01
—
35.094397
PHYSICIAN LICENSE
OH
01
—
36995
PHYSICIAN LICENSE
AZ
01
—
39304
PHYSICIAN LICENSE
CO
01
—
4301095525
PHYSICIAN LICENSE
MI
01
—
4842079-1205
PHYSICIAN LICENSE
UT
01
—
8225A
PHYSICIAN LICENSE
WY
01
—
HI139164
PHYSICIAN LICENSE
PA
01
—
MD153286
PHYSICIAN LICENSE
OR
Enumeration date
04/20/2006
Last updated
03/25/2024
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