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Individual

KATRINA M VLACHOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
13160 MINDANAO WAY #300, MARINA DEL REY, CA 90292
(310) 574-0384
(310) 574-0382
Mailing address
PO BOX 757, HERMOSA BEACH, CA 90254-0757
(310) 574-0384
(310) 574-0382

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A068888
CA

Other

Enumeration date
07/16/2006
Last updated
01/24/2013
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