Individual
DR. ANDREY PETRIKOVETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3312 GLENDALE BLVD, LOS ANGELES, CA 90039-1813
(888) 487-6496
(323) 250-1361
Mailing address
PO BOX 39466, LOS ANGELES, CA 90039-0466
(888) 487-6496
(323) 250-1361
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
A127810
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2011
Last updated
12/04/2023
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