Organization
WEST CLUB COM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATIANA IGNATOVA (PARTNER)
(818) 802-2368
Entity
Organization
Contact information
Practice address
4929 MEDINA DR, WOODLAND HILLS, CA 91364-4324
(818) 802-2368
Mailing address
4929 MEDINA DR, WOODLAND HILLS, CA 91364-4324
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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