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Organization

MIKHAIL BLINCHIK MD INC

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Organization

MIKHAIL BLINCHIK MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIKHAIL BLINCHIK MD (MD, PRESIDENT)
(818) 808-3488
Entity
Organization

Contact information

Practice address
88 N ROOSEVELT AVE, # 22, PASADENA, CA 91107-6827
(818) 808-3488
(626) 974-0450
Mailing address
88 N ROOSEVELT AVE, # 22, PASADENA, CA 91107-6827
(818) 808-3488
(626) 974-0450

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A96997
CA

Other

Enumeration date
05/17/2011
Last updated
05/17/2011
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