Organization
DAVID CEVALLOS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CEVALLOS MD (CEO)
(323) 360-8421
Entity
Organization
Contact information
Practice address
616 ST PAUL AVE, APT. 417, LOS ANGELES, CA 90017-2022
(323) 360-8421
(626) 380-4743
Mailing address
616 ST PAUL AVE, APT. 417, LOS ANGELES, CA 90017-2022
(323) 360-8421
(626) 380-4743
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
B5688077
CA
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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