Organization
WOODVIC MEDICAL CARE AND CLINIC, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLA KOROLEVA (OWNER)
(818) 988-9825
Entity
Organization
Contact information
Practice address
13653 VICTORY BLVD, VAN NUYS, CA 91401-1735
(818) 988-9825
(818) 988-9305
Mailing address
13653 VICTORY BLVD, VAN NUYS, CA 91401-1735
(818) 988-9825
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/15/2009
Last updated
02/22/2010
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