Individual
SABINA RASULOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
542 N VISTA ST, LOS ANGELES, CA 90036-5743
(323) 658-8722
(323) 782-0153
Mailing address
542 N VISTA ST, LOS ANGELES, CA 90036-5743
(323) 658-8722
(323) 782-0153
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
197608058
CA
311ZA0620X
Adult Care Home Facility
Primary
197608059
CA
311ZA0620X
Adult Care Home Facility
197608060
CA
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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