# ILYA SABSOVICH MD INC A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ILYA SABSOVICH MD INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194165308
- **Authorized official:** ILYA SABSOVICH MD (PRESIDENT)
- **Authorized official phone:** (650) 580-0939

## Contact information

- **Practice address:** 6140 CAMINO VERDE DR, SUITE L, SAN JOSE, CA 95119-1401
- **Practice address phone:** (650) 580-0939
- **Mailing address:** 13290 LENNOX WAY, LOS ALTOS HILLS, CA 94022-3542
- **Mailing address phone:** (650) 580-0939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | A115064 | CA | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | A115064 | CA | — |

## Other

- **Enumeration date:** 07/02/2013
- **Last updated:** 07/02/2013