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Organization

BORIS VAISMAN MEDICAL COPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BORIS VAISMAN M.D. (CEO)
(818) 225-1255
Entity
Organization

Contact information

Practice address
22600 VENTURA BLVD STE 101, WOODLAND HILLS, CA 91364-1430
(818) 225-1255
(818) 225-8646
Mailing address
4932 CHIMINEAS AVE, TARZANA, CA 91356-4302
(818) 225-1255
(818) 225-8646

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A92266
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2901737
CA
Enumeration date
08/11/2008
Last updated
08/11/2008
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