SearchCalifornia363A00000X

Alicia Muccigrosso, PA-C

NPI 1538472162 · on the registry since 2010

Practice

Address
6330 San Vicente Blvd
Suite 310
Los Angeles, CA 90048
Phone
(310) 855-0751
Organisation at this address
Mindfield Medical
Mindfield Wellness
David Kim Md Phd Inc
Layne Kumetz M.D., Inc.
Bonafide Wellness, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
24

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AM0700X
Licence states on file
CA, NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-11-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California