Individual
VICTOR M WASSILY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 E BEVERLY BLVD STE 202, MONTEBELLO, CA 90640-4315
(323) 722-7711
(323) 722-7127
Mailing address
101 E BEVERLY BLVD STE 202, MONTEBELLO, CA 90640-4315
(323) 722-7711
(323) 722-7127
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A53474
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A534740
—
CA
Enumeration date
07/21/2006
Last updated
11/20/2025
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