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Organization

ILYA GELMAN M. D., A PROFESSIONAL CORPORATION

Active
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Organization

ILYA GELMAN M. D., A PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ILYA GELMAN (PRESIDENT)
(323) 653-2504
Entity
Organization

Contact information

Practice address
6333 WILSHIRE BLVD STE 200, LOS ANGELES, CA 90048-5724
(323) 653-2504
Mailing address
303 N SWALL DR PH, BEVERLY HILLS, CA 90211-1747

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A56511
CA

Other

Enumeration date
01/10/2011
Last updated
01/10/2011
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