Organization
OLEG M. GAVRILYUK, M.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLEG M GAVRILYUK M.D. (OWNER)
(619) 764-0330
Entity
Organization
Contact information
Practice address
6699 ALVARADO RD, #2302, SAN DIEGO, CA 92120-5244
(619) 764-0330
Mailing address
6699 ALVARADO RD, #2302, SAN DIEGO, CA 92120-5244
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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