Individual
MRS. AMANI ELDESSOUKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1704 W MANCHESTER AVE, SUITE 109, LOS ANGELES, CA 90047-3034
(323) 778-8485
(310) 778-4452
Mailing address
1704 W MANCHESTER AVE, SUITE 109, LOS ANGELES, CA 90047-3034
(323) 778-8485
(323) 778-4452
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A56426
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A564260
—
CA
Enumeration date
08/01/2006
Last updated
12/12/2014
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