Individual
DR. IGOR PERSIDSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5434 HERON BAY, LONG BEACH, CA 90803-4821
(562) 985-0619
(562) 498-4601
Mailing address
5434 HERON BAY, LONG BEACH, CA 90803-4821
(562) 985-0619
(562) 498-4601
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A54121
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A541211
—
CA
Enumeration date
07/02/2006
Last updated
10/24/2016
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