Individual
MISS CONSUELO VERONICA DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3640 LOMITA BLVD STE 301, TORRANCE, CA 90505-3956
(310) 405-0693
(310) 356-9126
Mailing address
3640 LOMITA BLVD STE 301, TORRANCE, CA 90505-3956
(310) 405-0693
(310) 356-9126
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A122615
CA
Other
Enumeration date
04/04/2011
Last updated
06/30/2021
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