Individual
DR. LYUDMILA A. BAZHENOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(858) 822-6100
(858) 822-6190
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A76755
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A767550
—
CA
Enumeration date
12/21/2005
Last updated
04/23/2018
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