Individual
MRS. PATTY KU MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(800) 954-8000
Mailing address
7625 GARVALIA AVE, ROSEMEAD, CA 91770-3064
(626) 216-1606
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
776280
CA
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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