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NPI Profile for MARK J AJALAT in LOS ANGELES, CA.
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Vascular Surgery |
2086S0129X | 76 | Physician/Peripheral Vascular Disease |
| NPI Number | 1487158168 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/19/2018 | |
| Last updated | 11/03/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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MARK J AJALAT
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MARK J AJALAT