Individual
MRS. MADDALENA DI TOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1223 16TH ST STE 3400, SANTA MONICA, CA 90404-1279
(310) 206-0367
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
021310
NY
363AS0400X
Surgical Physician Assistant
Primary
PA60594
CA
Other
Enumeration date
10/03/2017
Last updated
08/30/2024
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