Organization
ULTIMATE PAIN RELIEF, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR BOYARSKY DO (PRESIDENT)
(323) 648-6996
Entity
Organization
Contact information
Practice address
9229 W SUNSET BLVD, 222, WEST HOLLYWOOD, CA 90069-3402
(323) 648-6996
Mailing address
9229 W SUNSET BLVD, 222, WEST HOLLYWOOD, CA 90069-3402
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
20A6805
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A6805
STATE LICENSE NUMBER
CA
Enumeration date
12/20/2012
Last updated
12/20/2012
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