Organization
ANATOLY POSTOLOV M.D., A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANATOLY POSTOLOV M.D (PRESIDENT)
(818) 501-4838
Entity
Organization
Contact information
Practice address
13749 RIVERSIDE DR, SUIT #: 200, SHERMAN OAKS, CA 91423-2415
(818) 501-4838
(818) 501-4348
Mailing address
13749 RIVERSIDE DR, SUIT #: 200, SHERMAN OAKS, CA 91423-2415
(818) 501-4838
(818) 501-4348
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
A72516
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W18400
GT ID
CA
01
—
WA72615C
PPIN
CA
Enumeration date
06/17/2006
Last updated
12/15/2008
Update your record
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