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Organization
DR DORODNY INC
Active
Organization
DR DORODNY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR S DORODNY MD, ND, PHD, MPH (PRESIDENT)
(828) 367-6369
Entity
Organization
Contact information
Practice address
30765 PACIFIC COAST HWY, SUITE 285, MALIBU, CA 90265-3646
(828) 367-6369
(310) 457-7383
Mailing address
30765 PACIFIC COAST HWY, SUITE 285, MALIBU, CA 90265-3646
(828) 367-6369
(310) 457-7383
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
A35905
CA
207R00000X
Internal Medicine Physician
Primary
A35905
CA
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
A350905
CA
208D00000X
General Practice Physician
A35905
CA
208VP0000X
Pain Medicine Physician
A35905
CA
Other
Enumeration date
01/27/2009
Last updated
06/15/2011
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