Organization
LA CLINIC OF MEDICINE GENETICS AND PREVENTIVE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YELENA SILVANSKAYA (OWNER)
(323) 655-2799
Entity
Organization
Contact information
Practice address
369 N FAIRFAX AVE STE 2, LOS ANGELES, CA 90036-2175
(323) 655-2799
(323) 655-0556
Mailing address
647 N HARPER AVE, LOS ANGELES, CA 90048-2224
(323) 655-2799
(323) 655-0556
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A70174
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A701740
—
CA
Enumeration date
10/12/2006
Last updated
08/22/2020
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