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Specialty details in registry · Los Angeles, CA

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At a glance

10010 S Spring St, Los Angeles, CA 90003-4632

NPPES record updated Sep 13, 2025. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

10010 S Spring St
Los Angeles, CA 90003-4632
Professional details: NPI, taxonomy & registry record
NPI1194696203
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251S00000X
Enumeration date
Sep 13, 2025
Record updated
Sep 13, 2025
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251S00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

10010 S Spring St
Los Angeles, CA 90003-4632
Phone
(310) 776-0396
Mailing address
2110 ARTESIA BLVD STE 382

REDONDO BEACH, CA 902783073
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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