Individual
DR. VADIM AVULOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6699 ALVARADO RD STE 2309, SAN DIEGO, CA 92120-5241
(619) 396-6637
Mailing address
7905 TOMMY DR, SAN DIEGO, CA 92119-1833
(917) 602-4507
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20A13344
CA
Other
Enumeration date
12/06/2012
Last updated
03/10/2020
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