NPI 1104186857

Faith Storey

Practitioner Contractor Los Angeles, CA

Practice location

Address: 11645 Wilshire Blvd STE 745, Los Angeles, CA 90025-6800
Phone: (310) 696-0100

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 20245 (CA)

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Registry record

NPI: 1104186857
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 May 2012
Record last updated: 29 May 2012

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.