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Individual

CHRISTIAN S HEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 MEDICAL PLAZA, #550, LOS ANGELES, CA 90095
(310) 206-6688
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A54096
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A540960
CA
Enumeration date
07/13/2006
Last updated
09/28/2012
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