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Individual

DIETER ENZMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 301-6800
Mailing address
5767 W. CENTURY BLVD, #400, LOS ANGELES, CA 90045-5655
(310) 301-6800

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
G26559
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
G26559
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G0265590
CA
Enumeration date
05/03/2006
Last updated
04/08/2010
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