Organization
BIOMD BALANCE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLGA BEREGOVSKAYA MD (CEO)
(717) 994-1966
Entity
Organization
Contact information
Practice address
17777 VENTURA BLVD, SUITE #120, ENCINO, CA 91316-3736
(717) 994-1966
(801) 780-6316
Mailing address
2716 TRAPPER SPRINGS AVE, TULARE, CA 93274-6261
(717) 994-1966
(801) 780-6316
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A93529
CA
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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