| NPI Details | |
|---|---|
| NPI | 1043307374 |
| Gender | Male |
| Enumeration Date | 10/06/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 10 years ago |
| Practice Location | |
|---|---|
| 4643 BEVERLY BLVD #103 LOS ANGELES CA, 90004-3101, US |
|
| Phone | (323) 461-4183 |
| Fax | (323) 461-0864 |
| Business Location | |
|---|---|
| 1854 MCCOLLUM ST LOS ANGELES CA, 90026-1466, US |
|
| Phone | (323) 662-5226 |
| Fax | (323) 662-1707 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207L00000X |
| License State | California |
| License Number | A39704 |
| Remove 1043307374 NPI Number | |
According to our database, Amor Tabucol Fernando M.D. NPI is 1043307374, taxonomy code is 207L00000X and license number is A39704, license state is located at California. Amor Tabucol Fernando M.D. physically located at 4643 Beverly Blvd, Los Angeles CA, 90004-3101. NPI Number Amor Tabucol Fernando M.D. has the Individual type.
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1043307374 NPI number is provided on an as is basis without warranty of any kind. 1043307374 is maintained by the National Plan & Provider Enumeration System. The contents of Amor Tabucol Fernando M.D. are for informational purposes only.
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