Organization
GALINA MAKOVOZ MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARINA BROYTMAN (OFFICE MANAGER)
(323) 650-5494
Entity
Organization
Contact information
Practice address
7607 SANTA MONICA BLVD STE 27, WEST HOLLYWOOD, CA 90046-6400
(323) 650-5494
(323) 650-5495
Mailing address
7607 SANTA MONICA BLVD STE 27, WEST HOLLYWOOD, CA 90046-6400
(323) 650-5494
(323) 650-5495
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A47756
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A477560
—
CA
05
—
00A477561
—
CA
Enumeration date
03/10/2010
Last updated
07/02/2010
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