| Anatoly Postolov M.d., A Professional Medical Corporation | |
|
13749 Riverside Dr Suit #: 200 Sherman Oaks CA 91423-2415 | |
| (818) 501-4838 | |
| (818) 501-4348 |
| Full Name | Anatoly Postolov M.d., A Professional Medical Corporation |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 13749 Riverside Dr, Sherman Oaks, California |
| Authorized Official Name and Position | Anatoly Postolov (PRESIDENT) |
| Authorized Official Contact | 8185014838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anatoly Postolov M.d., A Professional Medical Corporation 13749 Riverside Dr Suit #: 200 Sherman Oaks CA 91423-2415 Ph: (818) 501-4838 | Anatoly Postolov M.d., A Professional Medical Corporation 13749 Riverside Dr Suit #: 200 Sherman Oaks CA 91423-2415 Ph: (818) 501-4838 |
| NPI Number | 1215972062 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 12/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215972062 | NPI | - | NPPES |
| WA72615C | Other | CA | PPIN |
| W18400 | Other | CA | GT ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | A72516 (California) | Primary |
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