Organization
ILYA SABSOVICH MD INC A MEDICAL CORPORATION
Active
Other names
ILYA SABSOVICH MD INC
Organization subpart
No
Provider details
NPI number
Authorized official
ILYA SABSOVICH MD (PRESIDENT)
(650) 580-0939
Entity
Organization
Contact information
Practice address
6140 CAMINO VERDE DR, SUITE L, SAN JOSE, CA 95119-1401
(650) 580-0939
Mailing address
13290 LENNOX WAY, LOS ALTOS HILLS, CA 94022-3542
(650) 580-0939
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A115064
CA
208VP0014X
Interventional Pain Medicine Physician
A115064
CA
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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