Individual
IVAN IUDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 N POINSETTIA PL APT 104, LOS ANGELES, CA 90046-3521
(424) 382-5575
Mailing address
1630 N EDGEMONT ST APT F1, LOS ANGELES, CA 90027-5218
(424) 382-5575
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
98002
CA
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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