Organization
VADIM AVULOV, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VADIM AVULOV D.O. (PHYSICIAN)
(917) 602-4507
Entity
Organization
Contact information
Practice address
24248 CRENSHAW BLVD STE 102, TORRANCE, CA 90505-7500
(917) 602-4507
Mailing address
24248 CRENSHAW BLVD STE 102, TORRANCE, CA 90505-7500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20A13344
CA
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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