Boris Viadamir Lubavin, MD | |
8510 Balboa Blvd, Ste 150, Northridge, CA 91325-3583 | |
(888) 988-2800 | |
Not Available |
Full Name | Boris Viadamir Lubavin |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 8510 Balboa Blvd, Northridge, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265591853 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A81982 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Entity Name | Lakeside Medical Organization A Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831426642 PECOS PAC ID: 7618005166 Enrollment ID: O20100505000015 |
Mailing Address | Practice Location Address |
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Boris Viadamir Lubavin, MD 441 N Lakeview Ave, Anaheim, CA 92807-3028 Ph: (888) 988-2800 | Boris Viadamir Lubavin, MD 8510 Balboa Blvd, Ste 150, Northridge, CA 91325-3583 Ph: (888) 988-2800 |
Cory Todd Munden, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18433 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-7507 | |
Matthew P Beatty, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18300 Roscoe Blvd, Northridge, CA 91328 Phone: 818-885-8500 | |
Steven L Cole, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 18300 Roscoe Blvd, Northridge, CA 91328 Phone: 818-885-8500 | |
Ivan C Rokos, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18300 Roscoe Blvd, Northridge, CA 91328 Phone: 818-885-8500 | |
Gabriel Henry Campion, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-8500 | |
Shannon M Mcfarland, PA Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18300 Roscoe Blvd, Northridge, CA 91328 Phone: 818-885-8500 |