Organization
IPB MEDICAL DIAGNOSTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAVEL BAIMKIN (PRESIDENT)
(310) 500-6410
Entity
Organization
Contact information
Practice address
8939 S SEPULVEDA BL, SUITE 504, LOS ANGELES, CA 90045-3631
(310) 649-5264
(310) 822-1062
Mailing address
PO BOX 9155, MARINA DEL REY, CA 90295-1555
(310) 500-6410
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
11/13/2006
Last updated
08/22/2020
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