Individual
JOHN DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-1000
Mailing address
1200 N STATE ST RM 2B300, LOS ANGELES, CA 90089-1001
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A164061
CA
Other
Enumeration date
05/29/2018
Last updated
06/14/2024
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