Individual
JUSTINE REBECCA SEIVRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10833 LECONTE AVENUE, LOS ANGELES, CA 90095-6021
(301) 206-5674
Mailing address
10833 LECONTE AVENUE, 52-121 CHS, LOS ANGELES, CA 90095
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
PTL9275
CA
Other
Enumeration date
03/22/2022
Last updated
06/18/2023
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