| Dalton Andrew Wise, | |
|
1000 W Carson St, Torrance, CA 90502-2059 | |
| (424) 306-6219 | |
| Not Available |
| Full Name | Dalton Andrew Wise |
|---|---|
| Gender | Male |
| Speciality | Pathology - Clinical Pathology/laboratory Medicine |
| Location | 1000 W Carson St, Torrance, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265015572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | MD2024-1078 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dalton Andrew Wise, 2403 Louisiana St, Little Rock, AR 72206-2239 Ph: (501) 580-2291 | Dalton Andrew Wise, 1000 W Carson St, Torrance, CA 90502-2059 Ph: (424) 306-6219 |
Dr. Guy Lewis Disibio, MD, PHD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1000 West Carson St., Harbor-ucla Medical Center, Torrance, CA 90509 Phone: 310-222-2241 | |
Dr. John D Blakey, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3330 Lomita Blvd, Department Of Pathology, Torrance, CA 90505 Phone: 310-517-4649 Fax: 310-784-4847 | |
Dr. John Paul Kunesh, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3330 Lomita Blvd, Department Of Pathology, Torrance, CA 90505 Phone: 310-517-4649 Fax: 310-784-4847 | |
Phillip M Cacheris, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 19951 Mariner Ave, Suite 155, Torrance, CA 90503 Phone: 310-225-3244 Fax: 310-698-7054 | |
Rose Venegas, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1000 W Carson St, Box 480, Torrance, CA 90502 Phone: 310-222-2272 | |
Cynthia Lorenzo, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1000 West Carson St, Torrance, CA 90509 Phone: 310-222-2241 | |
Eric Olsen, Pathology Medicare: Not Enrolled in Medicare Practice Location: 1000 W Carson St, Box 12, Torrance, CA 90502 Phone: 310-222-2643 |