Individual
DR. MAURICIO DE LA LAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-6500
Mailing address
400 E 71ST ST, 4A, NEW YORK, NY 10021-4808
(312) 213-0200
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A121020
CA
Other
Enumeration date
02/01/2011
Last updated
03/02/2026
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