Individual
TATIANA LARA OSPINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-4755
Mailing address
289 N EL MOLINO AVE APT 219, PASADENA, CA 91101-4484
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
64099
CT
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
A178409
CA
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
03/25/2016
Last updated
06/01/2023
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