Individual
DR. SALVACION MIRAFUENTES LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11306 VENTURA BLVD, STUDIO CITY, CA 91604-3137
(818) 505-1574
(818) 505-1574
Mailing address
11306 VENTURA BLVD, STUDIO CITY, CA 91604-3137
(818) 505-1574
(818) 505-1574
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A45616
CA
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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