Organization
KATHY ELIZABETH MAGLIATO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHY ELIZABETH MAGLIATO MD (PRESIDENT)
(310) 291-7128
Entity
Organization
Contact information
Practice address
401 EL MEDIO AVE, PACIFIC PALISADES, CA 90272-4220
(310) 291-7128
Mailing address
401 EL MEDIO AVE, PACIFIC PALISADES, CA 90272-4220
(310) 291-7128
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G85331
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G853310
—
CA
Enumeration date
05/03/2010
Last updated
05/03/2010
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