Individual
JOB DANIEL AUGUSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1104 N MISSION RD, LOS ANGELES, CA 90033-1017
(323) 343-0569
Mailing address
1104 N MISSION RD, LOS ANGELES, CA 90033-1017
(323) 343-0569
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
A107596
CA
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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