Organization
LA HEALTH & WELLNESS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YANIV FARBENBLOOM (PRESIDENT)
(818) 505-0152
Entity
Organization
Contact information
Practice address
11239 VENTURA BLVD STE 213, STUDIO CITY, CA 91604-3167
(818) 505-0152
(818) 505-0398
Mailing address
11239 VENTURA BLVD STE 213, STUDIO CITY, CA 91604-3167
(818) 505-0152
(818) 505-0398
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G56249
CA
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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