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Individual

DR. SULABHA MASIH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1520 SAN PABLO ST, STE 1600, LOS ANGELES, CA 90033-5310
(323) 442-7450
Mailing address
PO BOX 31399, LOS ANGELES, CA 90031-0399

Taxonomy

Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
G16935
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A305190
BLUE SHIELD
CA
05
00A305190
CA
01
00A305190G56
CAL OPTIMA
CA
01
P00059899
RAIL ROAD MEDICARE
CA
Enumeration date
06/23/2006
Last updated
01/04/2008
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