Organization
PERSONAL UNICARE MEDICAL CLINIC A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRY OYKHERMAN (OFFICE MANAGER)
(323) 650-5530
Entity
Organization
Contact information
Practice address
1019 N FAIRFAX AVE, 101, WEST HOLLYWOOD, CA 90046-6160
(323) 650-5530
(323) 650-5539
Mailing address
1019 N FAIRFAX AVE, 101, WEST HOLLYWOOD, CA 90046-6160
(323) 650-5530
(323) 650-5539
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A37859
CA
Other
Enumeration date
06/24/2008
Last updated
05/08/2009
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