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Organization
MENIFEE LASER CENTER, INC.
Active
Organization
MENIFEE LASER CENTER, INC.
Active
Parent organization
MENIFEE LASER CENTER, INC
Other names
Transformational Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
MENIFEE LASER CENTER, INC
Authorized official
DR. VADIM GURVITS D.O. (PRESIDENT)
(951) 672-4200
Entity
Organization
Contact information
Practice address
29798 HAUN RD., SUITE 209, MENIFEE, CA 92586
(951) 672-4200
(951) 672-0835
Mailing address
P.O. BOX 966, SUNCITY, CA 92586
(951) 672-4200
(951) 672-0835
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
NULL
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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