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Individual

DR. ILYA SABSOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., M.SC.

Contact information

Practice address
13290 LENNOX WAY, LOS ALTOS HILLS, CA 94022-3542
(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
08/11/2011
Last updated
05/17/2013
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