Individual
LISA KAY TRITICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
200 MEDICAL PLZ, SUITE 660, LOS ANGELES, CA 90095-0001
(310) 794-7475
(310) 206-1060
Mailing address
4227 MENTONE AVE, CULVER CITY, CA 90232
(310) 839-3565
(310) 206-1060
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
380372
CA
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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