Individual
LAURA N. DICHIACCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
127 S SAN VICENTE BLVD STE A3100, LOS ANGELES, CA 90048-3311
(310) 423-3851
(310) 423-0127
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
12792740-1205
UT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A195519
CA
Other
Enumeration date
06/16/2015
Last updated
08/23/2024
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