Amor Tabucol Fernando M.D.

NPI 1043307374 - Anesthesiology - 207L00000X

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
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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.