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:
Health care specialties
| Specialty | Code | License # | 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 5 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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