Individual
SERGEY SUVOROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6201 HOLLYWOOD BLVD UNIT 3618, LOS ANGELES, CA 90028-6089
(424) 261-9274
Mailing address
6201 HOLLYWOOD BLVD UNIT 3618, LOS ANGELES, CA 90028-6089
(424) 261-9274
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
92023
CA
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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