Individual
MALTISH LORENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2925 PALO VERDE AVE, LONG BEACH, CA 90815-1552
(562) 799-2020
Mailing address
4739 SAWTELLE BLVD, CULVER CITY, CA 90230-4834
(661) 480-8357
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A189134
CA
Other
Enumeration date
03/30/2020
Last updated
08/06/2024
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