IndividualActive
Ann Marie Visosky, MD
NPI 1245413103 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Los Angeles, CA
Provider details
- NPI number
- 1245413103
- Entity type
- Individual
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- A101090 (CA)
Specialties & taxonomies
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianPrimary207YX0007XLicense A101090 (CA)
Allopathic & Osteopathic Physicians
Practice location
6041 Cadillac Ave
Los Angeles, CA 90034-1702
Phone: (323) 857-2000
Approximate (ZIP-level) locationGet directions
Mailing address
393 E Walnut St
Pasadena, CA 91188-0001
Registry dates
- Enumerated
- 2007-12-13
- Last updated
- 2021-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.