Individual
MR. ADA C USHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
9000 OVERLAND AVE, CULVER CITY, CA 90230-5002
(310) 423-7748
Mailing address
9000 OVERLAND AVE, CULVER CITY, CA 90230-5002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
23055
CA
363AM0700X
Medical Physician Assistant
23055
CA
Other
Enumeration date
07/24/2013
Last updated
08/28/2013
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