Organization
VICTOR S DORODNY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR DORODNY M.D. (CEO)
18283676369
Entity
Organization
Contact information
Practice address
30765 PACIFIC COAST HWY STE 285, MALIBU, CA 90265-3646
(182) 836-7636
Mailing address
30765 PACIFIC COAST HWY STE 285, MALIBU, CA 90265-3646
(828) 367-6369
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A35905
CA
Other
Enumeration date
11/16/2011
Last updated
11/17/2011
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