Individual
DR. DALE ROGER MASCARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P,M.
Contact information
Practice address
5636 N FIGUEROA ST, LOS ANGELES, CA 90042-4102
(323) 255-1441
(323) 255-7277
Mailing address
5636 N FIGUEROA ST, LOS ANGELES, CA 90042-4102
(323) 255-1441
(323) 255-7277
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1915
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E19151
—
CA
Enumeration date
05/09/2007
Last updated
12/17/2007
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