Individual
DR. OREST V PETRISHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.D., PH.D., C.N.C.
Contact information
Practice address
6333 WILSHIRE BLVD, STE #200, LOS ANGELES, CA 90048-5702
(323) 653-2504
(323) 653-2515
Mailing address
6333 WILSHIRE BLVD, STE #200, LOS ANGELES, CA 90048-5702
(323) 382-4211
(323) 654-5373
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
CNC-2372
IN
175F00000X
Naturopath
NAT-375
DC
Other
Enumeration date
07/27/2009
Last updated
05/20/2010
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