Individual
MRS. MILA GASS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5230 HOLLYWOOD BLVD, LOS ANGELES, CA 90027-4909
(323) 666-0949
(323) 666-9317
Mailing address
5230 HOLLYWOOD BLVD, LOS ANGELES, CA 90027-4909
(323) 666-0949
(323) 666-9317
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
101754
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02318F
—
CA
Enumeration date
11/14/2006
Last updated
07/05/2011
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