Casey Distaso, MD
NPI #1003311747 in West Hollywood, California
Provider Information
- NPI Number
- 1003311747
- Entity Type
- Individual
- Name
- Casey Distaso, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Emergency Medicine
- Credential
- MD
- Enumeration Date
- Mar 26, 2018
- Last Updated
- Jun 7, 2024
Practice Location
- Address
- 8700 BEVERLY BLVD
- City
- West Hollywood
- State
- California
- ZIP Code
- 90048-1804
- Phone
- (310) 423-8780
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
| Preventive Medicine - Clinical Informatics — Clinical Informatics |
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