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Individual

INA HOCUTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
12660 RIVERSIDE DR, 201, NORTH HOLLYWOOD, CA 91607-3429
(818) 769-2101
Mailing address
4855 SANTA MONICA BLVD, STE 102, LOS ANGELES, CA 90029-2654
(323) 741-8500
(323) 741-8500

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT5300
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT5300
STATE LICENSE
CA
Enumeration date
10/21/2011
Last updated
01/08/2018
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