Individual
DAGEM MAMMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(424) 306-7648
(213) 514-8954
Mailing address
11606 COACHFIELD LN, HOUSTON, TX 77035-2218
(832) 969-2815
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A173947
CA
Other
Enumeration date
04/10/2018
Last updated
03/26/2025
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