Individual
LU LU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6041 CADILLAC AVE, LOS ANGELES, CA 90034-1702
(323) 857-3595
Mailing address
6041 CADILLAC AVE, LOS ANGELES, CA 90034-1702
(323) 857-3595
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
20280
CA
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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