Organization
E KULUBYA MD,P.C
Active
Organization
E KULUBYA MD,P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN SAMUEL KULUBYA M.D (OWNER)
(714) 234-7485
Entity
Organization
Contact information
Practice address
3220 THATCHER AVE, MARINA DEL REY, CA 90292-5556
(714) 234-7485
Mailing address
3220 THATCHER AVE, MARINA DEL REY, CA 90292-5556
(714) 234-7485
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
G54189
CA
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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