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Organization
WOODVIC MEDICAL CARE AND CLINIC, CORP
Active
Organization
WOODVIC MEDICAL CARE AND CLINIC, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLA KOROLEVA (OWNER)
(818) 988-9825
Entity
Organization
Contact information
Practice address
13653 VICTORY BLVD, VAN NUYS, CA 91401-1735
(818) 988-9825
(818) 988-9305
Mailing address
13653 VICTORY BLVD, VAN NUYS, CA 91401-1735
(818) 988-9825
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/15/2009
Last updated
02/22/2010
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