Organization
CARL LAURYSSEN MD PROF CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL LAURYSSEN M.D. (OWNER)
(310) 358-2490
Entity
Organization
Contact information
Practice address
8201 BEVERLY BLVD STE 405, LOS ANGELES, CA 90048-4505
(323) 272-4678
Mailing address
8201 BEVERLY BLVD, SUITE 405, LOS ANGELES, CA 90048-4505
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
C50914
CA
Other
Enumeration date
08/14/2006
Last updated
02/19/2014
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