Individual
DR. LUIS HUMBERTO MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13160 MINDANAO WAY, SUITE 202, MARINA DEL REY, CA 90292-6358
(310) 574-2103
Mailing address
13160 MINDANAO WAY, SUITE 202, MARINA DEL REY, CA 90292-6358
(310) 574-2103
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A116508
CA
Other
Enumeration date
05/08/2007
Last updated
01/03/2019
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