Type 1 individualNPI 1003311747
CASEY DISTASO MD
207P00000X · WEST HOLLYWOOD, CA
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 207P00000X | 207P00000X | Primary |
| 207P00000X | 207P00000X | Additional |
| 207P00000X | 207P00000X | Additional |
| 2083C0008X | 2083C0008X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s