Ilya Sabsovich Md Inc A Medical Corporation

NPI 1194165308 - Pain Medicine - 208VP0014X

NPI Details
NPI 1194165308
Enumeration Date 07/02/2013
Last Updated 07/02/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ILYA ILYA
Position PRESIDENT
Phone (650) 580-0939
Fax
Practice Location
6140 CAMINO VERDE DR
SUITE L
SAN JOSE CA, 95119-1401, US
Phone (650) 580-0939
Fax
Business Location
13290 LENNOX WAY
LOS ALTOS HILLS CA, 94022-3542, US
Phone (650) 580-0939
Fax
Toxanomy
Taxonomy Code 208VP0014X
License State California
License Number A115064
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According to our database, Ilya Sabsovich Md Inc A Medical Corporation NPI is 1194165308, taxonomy code is 208VP0014X and license number is A115064, license state is located at California. Ilya Sabsovich Md Inc A Medical Corporation physically located at 6140 Camino Verde Dr, San Jose CA, 95119-1401. NPI Number 1033115704 has the healthcare provider type.

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1194165308 NPI number is provided on an as is basis without warranty of any kind. 1194165308 is maintained by the National Plan & Provider Enumeration System. The contents of Ilya Sabsovich Md Inc A Medical Corporation are for informational purposes only.