Doctor Name: | DR. HUMBERTO AGUSTIN FLORIAN |
NPI Number: | 1194934711 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A26087 |
Business Practice Address: | 4643 Beverly Blvd Suite 103 Los Angeles, CA - 900043101 |
Business Phone Number: | 3234614183 |
Business Fax Number: | 3234610864 |
Mailing Address: | 4643 Beverly Blvd, Suite 103 LOS ANGELES |
State: | CA |
Postal Code: | 900043101 |
Phone Number: | 3234614183 |
Fax Number: | 3234610864 |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 03/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A26087 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |