Organization
ANDREY PETRIKOVETS MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREY PETRIKOVETS MD (OWNER)
(888) 487-6496
Entity
Organization
Contact information
Practice address
3312 GLENDALE BLVD, LOS ANGELES, CA 90039-1813
(888) 487-6496
(323) 250-1361
Mailing address
PO BOX 39466, LOS ANGELES, CA 90039-0466
(888) 487-6496
(323) 250-1361
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
A127810
CA
Other
Enumeration date
08/16/2018
Last updated
12/04/2023
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