Distaso, Casey

Distaso, Casey is an individual health care provider with primary practice located at 8700 Beverly Blvd , West Hollywood CA 90048-1804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Clinical Informatics. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Distaso, Casey can be contacted via phone (310) 423-8780.

Contact Information

Primary practice address
8700 Beverly Blvd West Hollywood CA 90048-1804
Phone: (310) 423-8780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 62985 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 125.072192 Illinois
Allopathic & Osteopathic Physicians / Clinical Informatics 2083C0008X A196321 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A196321 California

Profile Details

NPI number 1003311747
LBN Legal business name Distaso, Casey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2018
Last updated Jun 7th, 2024 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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