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Organization
L.E.V. MEDICAL GROUP, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
L.E.V. MEDICAL GROUP, A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Prestige Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLAD NUSINOVICH MD (PRESIDENT)
(310) 623-9222
Entity
Organization
Contact information
Practice address
7855 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-5344
(310) 623-9222
(310) 921-5623
Mailing address
7855 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-5344
(310) 623-9222
(310) 921-5623
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A92996
CA
Other
Enumeration date
09/15/2008
Last updated
05/14/2014
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