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Individual

DR. JOHN NACHAZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1401 S GRAND AVE, LOS ANGELES, CA 90015-3010
(213) 742-5793
(213) 742-6373
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G10944
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G109440
CA
Enumeration date
12/27/2005
Last updated
06/03/2014
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