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Organization
EOLB MEDICAL GROUP INC
Active
Organization
EOLB MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE OSTROVSKY M. D. (PRESIDENT/ MEDICAL DIRECTOR)
(818) 960-5334
Entity
Organization
Contact information
Practice address
16927 VANOWEN ST STE 4, LAKE BALBOA, CA 91406-4582
(818) 483-4717
Mailing address
18180 ANDREA CIR N UNIT 5, NORTHRIDGE, CA 91325-1107
(818) 960-5334
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/06/2018
Last updated
01/24/2019
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