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Organization
ILYA M RACHMAN MD INC
Active
Organization
ILYA M RACHMAN MD INC
Active
Other names
Rachman Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
ILYA RACHMAN M.D. (PRESIDENT)
(818) 757-1919
Entity
Organization
Contact information
Practice address
7601 CANBY AVE STE 7, RESEDA, CA 91335-2974
(818) 757-1919
(818) 757-3134
Mailing address
7601 CANBY AVE STE 7, RESEDA, CA 91335-2974
(818) 757-1919
(818) 757-3134
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W17349
GROUP MEDICARE IDENTIFICATION NUMBER
CA
Enumeration date
05/15/2010
Last updated
07/09/2020
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