NPI 1699972430
Ty Angelo Knowles, DEPARTMENTADMIN
Practice location
- Address
- 1526 N Edgemont St Fl 2, Los Angeles, CA 90027-5260
- Phone
- (323) 783-8552
- Fax
- (323) 783-5509
Registered specialties
Sonography Specialist/Technologist Cardiovascular
Primary
Registry record
- NPI
- 1699972430
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 27 Jun 2007
- Record last updated
- 8 Jul 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.