Organization
ALLA SKALNYI M.D. INC. A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLA V SKALNYI M.D. (CEO, OWNER)
(650) 279-2000
Entity
Organization
Contact information
Practice address
1750 EL CAMINO REAL STE 103, BURLINGAME, CA 94010-3210
(650) 239-9340
Mailing address
1750 EL CAMINO REAL STE 103, BURLINGAME, CA 94010-3210
(650) 239-9340
(650) 239-9343
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A106476
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982811956
INDIVIDUAL NPI
CA
Enumeration date
02/21/2012
Last updated
07/01/2022
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