Individual
MR. GENNADY NOSOVITSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
68555 RAMON RD, SUITE D103 & D104, CATHEDRAL CITY, CA 92234-3310
(760) 507-3310
Mailing address
68555 RAMON RD STE D103, CATHEDRAL CITY, CA 92234-3310
(760) 676-5800
(858) 634-6960
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA23278
CA
Other
Enumeration date
01/27/2014
Last updated
06/26/2023
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