# KATRINA M. VLACHOS, M. D. INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043340722
- **Authorized official:** KATRINA M VLACHOS M. D. (PHYSICIAN)
- **Authorized official phone:** (310) 860-3409

## Contact information

- **Practice address:** 120 S SPALDING DR, \#400, BEVERLY HILLS, CA 90212-1800
- **Practice address phone:** (310) 860-3409
- **Practice address fax:** (310) 247-1750
- **Mailing address:** 120 S SPALDING DR, \#400, BEVERLY HILLS, CA 90212-1800
- **Mailing address phone:** (310) 860-3409
- **Mailing address fax:** (310) 247-1750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | AO68888 | CA | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 10/02/2007