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Organization
VADIM CHUDNOVSKY, M.D., INC.
Active
Organization
VADIM CHUDNOVSKY, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VADIM CHUDNOVSKY M.D. (PRESIDENT)
(714) 758-2985
Entity
Organization
Contact information
Practice address
1440 S STATE COLLEGE BLVD, SUITE 3-M, ANAHEIM, CA 92806-5724
(714) 758-2985
(714) 758-0770
Mailing address
1440 S STATE COLLEGE BLVD, SUITE 3-M, ANAHEIM, CA 92806-5724
(714) 758-2985
(714) 758-0770
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A48658
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A486580
—
CA
Enumeration date
10/09/2007
Last updated
10/09/2007
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