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Individual

EVANTHIA ROUSSOS TORRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1441 EASTLAKE AVE, LOS ANGELES, CA 90089-1221
(323) 865-3105
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 865-3105

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT201222
PA
207RX0202X
Medical Oncology Physician
Primary
A166224
CA
207RX0202X
Medical Oncology Physician
D80560
MD

Other

Enumeration date
05/09/2012
Last updated
11/27/2023
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