# PERSONAL UNICARE MEDICAL CLINIC A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1285895987
- **Authorized official:** DMITRY OYKHERMAN (OFFICE MANAGER)
- **Authorized official phone:** (323) 650-5530

## Contact information

- **Practice address:** 1019 N FAIRFAX AVE, 101, WEST HOLLYWOOD, CA 90046-6160
- **Practice address phone:** (323) 650-5530
- **Practice address fax:** (323) 650-5539
- **Mailing address:** 1019 N FAIRFAX AVE, 101, WEST HOLLYWOOD, CA 90046-6160
- **Mailing address phone:** (323) 650-5530
- **Mailing address fax:** (323) 650-5539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A37859 | CA | Yes |

## Other

- **Enumeration date:** 06/24/2008
- **Last updated:** 05/08/2009