Individual
ISAMI LINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-8358
(310) 267-8655
Mailing address
757 WESTWOOD PLZ, DEPARTMENT OF ANESTHESIOLOGY, LOS ANGELES, CA 90095-8358
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A188857
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2022
Last updated
01/14/2024
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