Individual
DR. CALVIN JOSEPH DUFFAUT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1920 COLORADO AVE, SANTA MONICA, CA 90404-3414
(310) 319-4700
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
A114487
CA
207R00000X
Internal Medicine Physician
A114487
CA
208000000X
Pediatrics Physician
Primary
A114487
CA
Other
Enumeration date
11/11/2010
Last updated
11/27/2019
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