NPI 1376151217

Marco Dimailig

Practitioner Phlebotomy Technician Los Angeles, CA

Practice location

Address: 624 S Berendo St APT 404, Los Angeles, CA 90005-1749
Phone: (818) 648-2170

Registered specialties

Phlebotomy Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246RP1900X Licence CPT00049914 (CA)

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Registry record

NPI: 1376151217
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jul 2020
Record last updated: 16 Jul 2020

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.