Individual
JOSEPHINE MARTINA ENCISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10833 LE CONTE AVE, MDCC B2-375, LOS ANGELES, CA 90095-3075
(310) 825-9436
(310) 267-0154
Mailing address
10833 LE CONTE AVE, MDCC B2-375, LOS ANGELES, CA 90095-3075
(310) 825-9436
(310) 267-0154
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A98123
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316969934
MEDI-CAL
CA
Enumeration date
10/17/2006
Last updated
08/07/2013
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