# CHRYSALIS HEALTH OF CALIFORNIA, PC

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

## Provider details

- **NPI number:** 1407324379
- **Authorized official:** MARINA TARASOVA (COO)
- **Authorized official phone:** (847) 809-6796

## Contact information

- **Practice address:** 4470 W SUNSET BLVD \# 92709, LOS ANGELES, CA 90027-6302
- **Practice address phone:** (424) 334-9213
- **Mailing address:** 136 E 76TH ST APT 8F, NEW YORK, NY 10021-2831
- **Mailing address phone:** (434) 248-7508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2018
- **Last updated:** 01/22/2021