Individual
JO ANN ANDREA GIACONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 STEIN PLZ STE 2-235, LOS ANGELES, CA 90095-7065
(310) 794-9442
(310) 794-5541
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A69916
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A699160
—
CA
01
—
M050376
COUNTY OF LOS ANGELES-UCLA MEDICAL CENTER
CA
Enumeration date
08/14/2006
Last updated
01/15/2025
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