CASEY DISTASO MD

Individual Provider (NPI-1) Active

Emergency Medicine

Provider Information

Emergency Medicine License: TN #62985

Emergency Medicine License: IL #125.072192

Preventive Medicine, Clinical Informatics Specialist License: CA #A196321

Emergency Medicine Primary License: CA #A196321

LOCATION

8700 BEVERLY BLVD

WEST HOLLYWOOD, CA, 900481804

MAILING

4140 W 190TH ST

TORRANCE, CA, 905045513