Individual
MRS. ANA MARIA MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1025 W OLYMPIC BLVD, LOS ANGELES, CA 90015-1329
(213) 623-2225
Mailing address
19191 S VERMONT AVE STE 200, TORRANCE, CA 90502-1049
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
572367
CA
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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