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Individual

ANDREY I RYCHKOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
23625 HOLMAN HIGHWAY, MONTEREY, CA 93940-5902
(831) 624-5311
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A83326
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A833260
BLUE SHIELD OF CA
CA
05
00A833260
CA
Enumeration date
11/08/2006
Last updated
12/30/2011
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