Individual
DR. VITO IMBASCIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, MD
Contact information
Practice address
6041 CADILLAC AVE, KAISER FOUNDATION HOSPITAL, DEPT. OF UROLOGY, LOS ANGELES, CA 90034-1702
(323) 857-4198
(323) 857-3891
Mailing address
6041 CADILLAC AVE, KAISER FOUNDATION HOSPITAL, DEPT. OF UROLOGY, LOS ANGELES, CA 90034-1702
(323) 857-4198
(323) 857-3891
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G69863
CA
Other
Enumeration date
08/14/2006
Last updated
12/03/2021
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