Individual
DR. MELVIN LAZARO AGATEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2503 BEVERLY BLVD, STE. #2, LOS ANGELES, CA 90057-1024
(213) 368-9283
(213) 368-0478
Mailing address
1171 ALLEN AVE, STE. #103, GLENDALE, CA 91201-3330
(818) 840-0371
(818) 840-0371
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A047785
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A477850
—
CA
Enumeration date
01/09/2007
Last updated
07/08/2007
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