Individual
NATALIA VLASSOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5971 VENICE BLVD FL 4, DEPARTMENT OF DERMATOLOGY, LOS ANGELES, CA 90034-1713
(800) 954-8000
Mailing address
5971 VENICE BLVD FL 4, DEPARTMENT OF DERMATOLOGY, LOS ANGELES, CA 90034-1713
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A139732
CA
Other
Enumeration date
02/10/2010
Last updated
12/06/2021
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