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Organization
PROGRESS MEDICAL CLINIC INC
Active
Organization
PROGRESS MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SVETLANA BARANOVSKY MD (OWNER)
(818) 757-1919
Entity
Organization
Contact information
Practice address
7601 CANBY AVE, SUITE #7, RESEDA, CA 91335-2974
(818) 757-1919
(818) 757-3134
Mailing address
7601 CANBY AVE, SUITE #7, RESEDA, CA 91335-2974
(818) 757-1919
(818) 757-3134
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A53350
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0078170
—
CA
Enumeration date
09/30/2006
Last updated
08/22/2020
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