NPI 1063696847

Doris J Icute

Practitioner Case Management Agency Los Angeles, CA

Practice location

Address: 1330 West Imperial Highway, Los Angeles, CA 90044
Phone: (323) 418-3101
Fax: (323) 757-4099
Mailing address: 9150 East Imperial Highway Room P-31, Downey, CA 90242

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

Other Case Management providers in California →

Registry record

NPI: 1063696847
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Dec 2007
Record last updated: 28 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.