Individual
OLEG GELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARDMS
Contact information
Practice address
11717 BALBOA BLVD, GRANADA HILLS, CA 91344-2712
(818) 970-1972
Mailing address
11717 BALBOA BLVD, GRANADA HILLS, CA 91344-2712
(818) 970-1972
Taxonomy
Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
—
—
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80583
ARDMS,RVT,RDCS
CA
Enumeration date
02/07/2008
Last updated
02/07/2008
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