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Organization
MIKHAIL VIZEL, MD, MEDICAL CORPORATION
Active
Organization
MIKHAIL VIZEL, MD, MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKHAIL VIZEL MD (PRESIDENT)
(818) 716-2100
Entity
Organization
Contact information
Practice address
5000 VAN NUYS BLVD STE 200, SHERMAN OAKS, CA 91403-1717
(818) 580-2285
Mailing address
13790 HIGHTOP ST, MOORPARK, CA 93021-5053
(818) 580-2364
(818) 986-9786
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A53626
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A0536260
—
CA
Enumeration date
07/10/2006
Last updated
09/03/2014
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