Provider Demographics
NPI:1710144829
Name:TOMASSI, MARCO JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCO
Middle Name:JAMES
Last Name:TOMASSI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1441 EASTLAKE AVE
Mailing Address - Street 2:SUITE 7418
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90089-0112
Mailing Address - Country:US
Mailing Address - Phone:323-865-3892
Mailing Address - Fax:323-865-3885
Practice Address - Street 1:1441 EASTLAKE AVE
Practice Address - Street 2:SUITE 7418
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90089-0112
Practice Address - Country:US
Practice Address - Phone:323-865-3892
Practice Address - Fax:323-865-3885
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-18
Last Update Date:2021-12-06
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Provider Licenses
StateLicense IDTaxonomies
CAA103631208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery