Organization
SERGE OBUKHOV, M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERGE OBUKHOFF MD (OWNER)
(714) 740-1778
Entity
Organization
Contact information
Practice address
13252 GARDEN GROVE BLVD, SUITE 112, GARDEN GROVE, CA 92843-2204
(714) 740-1778
(714) 740-1913
Mailing address
27159 SEA VISTA DR, MALIBU, CA 90265-4436
(714) 740-1778
(714) 740-1913
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A65490
CA
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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