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Organization
LIPOV MEDICAL GROUP OF CA PC
Active
Organization
LIPOV MEDICAL GROUP OF CA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE LIPOV MD (OWNER)
(312) 618-0829
Entity
Organization
Contact information
Practice address
12381 WILSHIRE BLVD STE 205, LOS ANGELES, CA 90025-1063
(855) 519-2122
Mailing address
1 E OAKHILL DR STE 100, WESTMONT, IL 60559-5540
(855) 519-2122
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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