Organization
DANIELLE BORUT MD INC SAMUEL BRUTTOMESSO MD INC ET AL PTR WHITE MEMORI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIELLE L. BORUT M.D. (MANAGING PARTNER)
(323) 987-1200
Entity
Organization
Contact information
Practice address
1701 E. CESAR E. CHAVEZ AVE, SUITE 456, LOS ANGELES, CA 90033
(323) 987-1200
(323) 987-1212
Mailing address
1701 E. CESAR E. CHAVEZ AVE, SUITE 532, LOS ANGELES, CA 90033
(323) 987-1200
(323) 987-1212
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/15/2006
Last updated
08/11/2008
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