Individual
TERESA L. PUSHECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367-6701
(818) 719-2000
Mailing address
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367-6701
(818) 719-2000
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
G70884
CA
Other
Enumeration date
11/29/2006
Last updated
11/29/2021
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