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Organization

CARLOS A COSENZA MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARLOS ALBERTO COSENZA MD (PRESIDENT)
(213) 393-1979
Entity
Organization

Contact information

Practice address
201 S ALVARADO STREET, #602, LOS ANGELES, CA 90057-2354
(213) 413-2930
(213) 413-7734
Mailing address
19329 CALADERO STREET, TARZANA, CA 91356-5501
(818) 986-8171
(818) 986-7320

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A053355
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A533551
CA
Enumeration date
04/09/2007
Last updated
08/22/2020
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