Individual
JOSEPH AUGUST CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4650 W SUNSET BLVD, MS# 75, LOS ANGELES, CA 90027-6062
(323) 669-2501
(323) 666-4627
Mailing address
6430 W SUNSET BLVD, SUITE 600, LOS ANGELES, CA 90028-7901
(323) 669-2337
(323) 644-8488
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
G31646
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G316460
—
CA
Enumeration date
10/02/2006
Last updated
07/08/2007
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