Individual
DAVID LAWRENCE MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12756 VAN NUYS BLVD, PACOIMA, CA 91331-1626
(818) 896-0531
(818) 896-5850
Mailing address
1172 N MACLAY AVE, SAN FERNANDO, CA 91340-1328
(818) 898-1388
(818) 365-4031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G77610
CA
Other
Enumeration date
08/04/2005
Last updated
03/09/2011
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