Organization
YURIY VERPUKHOVSKIY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YURIY VERPUKHOVSKIY MD (PRESIDENT)
(818) 904-9200
Entity
Organization
Contact information
Practice address
14860 ROSCOE BLVD, STE 306, PANORAMA CITY, CA 91402-4665
(818) 904-9200
(818) 904-9300
Mailing address
14860 ROSCOE BLVD, STE 306, PANORAMA CITY, CA 91402-4665
(818) 904-9200
(818) 904-9300
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A76392
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A763920
—
CA
01
—
A76392
LICENSE
CA
Enumeration date
06/25/2007
Last updated
04/22/2008
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