Individual
ADRIANA IZQUIERDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 MEDICAL PLZ, STE # 420, LOS ANGELES, CA 90095-0001
(310) 206-6232
(310) 206-3551
Mailing address
5767 W CENTURY BLVD, STE 200, LOS ANGELES, CA 90045-5631
(310) 206-6232
(310) 206-3551
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A99384
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588863005
—
CA
Enumeration date
07/13/2007
Last updated
07/14/2010
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