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Individual

ALYSSA T WATANABE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1500 SAN PABLO ST FL 2, LOS ANGELES, CA 90033-5313
(323) 442-8541
Mailing address
PO BOX 31399, LOS ANGELES, CA 90031-0399
(323) 442-8541

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
G63862
CA
2085R0202X
Diagnostic Radiology Physician
G63862
CA

Other

Enumeration date
12/15/2005
Last updated
11/29/2021
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