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Individual

MR. ERIC J JOSTOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
8032 AGNEW AVE, LOS ANGELES, CA 90045-1015
(310) 322-6989
Mailing address
8032 AGNEW AVE, LOS ANGELES, CA 90045-1015
(310) 322-6989

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15172
CA

Other

Enumeration date
02/14/2007
Last updated
07/08/2007
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