Organization
BLUESTONE HEALTH INC
Active
Organization
BLUESTONE HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EGOR PETROV (CEO)
(310) 863-0015
Entity
Organization
Contact information
Practice address
1800 VINE ST STE 206C, LOS ANGELES, CA 90028-5250
(310) 863-0015
Mailing address
1800 VINE ST STE 206C, LOS ANGELES, CA 90028-5250
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/03/2026
Last updated
07/03/2026
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