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NPI Code Detail

MEDICARE: BRYCE FILIP STARR MD

MEDICARE:   BRYCE FILIP STARR  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1174382287
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYCE FILIP STARR MD
Provider Business Mailing Address
First Line : 1510 SAN PABLO ST STE 415
Second Line :
City : LOS ANGELES
State : CA
Zip : 90033-5403
Country : US
Telephone Number : 323-442-7903
Fax Number :
Provider Business Practice Location Address
First Line : 1510 SAN PABLO ST STE 415
Second Line :
City : LOS ANGELES
State : CA
Zip : 90033-5403
Country : US
Telephone Number : 323-442-7903
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2024
Last Update Date : 03/19/2024

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Directions to “ BRYCE FILIP STARR MD” Practice Location

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