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Organization
VICTOR M. WASSILY, M.D. INC.
Active
Organization
VICTOR M. WASSILY, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR M WASSILY M.D. (PRESIDENT)
(323) 722-7711
Entity
Organization
Contact information
Practice address
111 W BEVERLY BLVD STE 217, MONTEBELLO, CA 90640-4320
(323) 722-7711
(323) 722-7127
Mailing address
111 W BEVERLY BLVD STE 217, MONTEBELLO, CA 90640-4320
(323) 722-7711
(323) 722-7127
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A53474
CA
Other
Enumeration date
08/21/2009
Last updated
08/21/2009
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