Individual
DR. MARTA VAKULENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4867 W SUNSET BLVD FL 3, CARDIAC ELECTROPHYSIOLOGY LAB, LOS ANGELES, CA 90027-5969
(323) 783-5850
(818) 638-7799
Mailing address
4867 W SUNSET BLVD FL 3, CARDIAC ELECTROPHYSIOLOGY LAB, LOS ANGELES, CA 90027-5969
(323) 783-5850
(818) 638-7799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A97039
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A97039
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
A97039
CA
Other
Enumeration date
03/20/2008
Last updated
12/03/2021
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