Organization
SVETLANA G. SEGAL M.D.,PH.D.,CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SVETLANA SEGAL M.D.,PH.D. (OWNER,PROVIDER,PRESIDENT)
(323) 651-3228
Entity
Organization
Contact information
Practice address
6221 WILSHIRE BLVD, #210, LOS ANGELES, CA 90048-5201
(323) 651-3228
(323) 651-0280
Mailing address
6221 WILSHIRE BLVD, #210, LOS ANGELES, CA 90048-5201
(323) 651-3228
(323) 651-0280
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A38892
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0057100
—
CA
Enumeration date
04/03/2007
Last updated
08/22/2020
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