Individual
BRYAN KEVIN DICHOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3010 S SEPULVEDA BLVD, LOS ANGELES, CA 90034-4202
(310) 478-9821
Mailing address
6705 FERRARA ST, LOS ANGELES, CA 90042-3719
(323) 559-0036
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
85253
CA
Other
Enumeration date
05/07/2022
Last updated
05/18/2022
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