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Individual

KEVIN TAYLOR SCOLARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4650 LINCOLN BLVD, MARINA DEL REY, CA 90292-6306
(310) 823-8911
Mailing address
505 S MAIN ST STE 525, ORANGE, CA 92868-4553
(714) 456-5631
(714) 285-0389

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
11725858-1205
UT
207L00000X
Anesthesiology Physician
Primary
A154246
CA

Other

Enumeration date
04/06/2016
Last updated
06/10/2022
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