Organization
GREGORY VASSILEV MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY VASSILEV MD (PRESIDENT)
(818) 550-0900
Entity
Organization
Contact information
Practice address
4929 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-1702
(818) 981-7111
Mailing address
PO BOX 5486, ORANGE, CA 92863-5486
(818) 550-0900
(505) 293-1524
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A63560
CA
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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