Individual
VALERY BOGOMOLNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6227 WILSHIRE BLVD, LOS ANGELES, CA 90048-5103
(323) 931-8051
(323) 931-3248
Mailing address
6227 WILSHIRE BLVD, LOS ANGELES, CA 90048-5103
(323) 931-8051
(323) 931-3248
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
100688
CA
Other
Enumeration date
11/02/2007
Last updated
11/06/2007
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