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NPI Code Detail

MEDICARE: DR JOHN ATTENELLO MD APC

MEDICARE: DR JOHN ATTENELLO MD APC
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
1207XS0117XOrthopaedic Surgery of the Spine Physician

General Provider Information

NPI Number : 1679313563
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR JOHN ATTENELLO MD APC
Provider Business Mailing Address
First Line : 1513 S GRAND AVE STE 300
Second Line :
City : LOS ANGELES
State : CA
Zip : 90015-3075
Country : US
Telephone Number : 310-337-2589
Fax Number :
Provider Business Practice Location Address
First Line : 1513 S GRAND AVE STE 300
Second Line :
City : LOS ANGELES
State : CA
Zip : 90015-3075
Country : US
Telephone Number : 310-337-2589
Fax Number :
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : JOHN D ATTENELLO
Credential : MD
Telephone Number : 310-337-2589
Provider Enumeration Date : 05/29/2024
Last Update Date : 04/11/2026

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