| Galaxy Medical Center Inc | |
|
6221 Wilshire Blvd Suite #401 Los Angeles CA 90048-5201 | |
| (323) 655-3747 | |
| (323) 932-0133 |
| Full Name | Galaxy Medical Center Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6221 Wilshire Blvd, Los Angeles, California |
| Authorized Official Name and Position | Gennady Musher (PRESIDENT) |
| Authorized Official Contact | 3236553747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Galaxy Medical Center Inc 6221 Wilshire Blvd Suite #401 Los Angeles CA 90048-5201 Ph: (323) 655-3747 | Galaxy Medical Center Inc 6221 Wilshire Blvd Suite #401 Los Angeles CA 90048-5201 Ph: (323) 655-3747 |
| NPI Number | 1245425073 |
|---|---|
| Provider Enumeration Date | 09/14/2007 |
| Last Update Date | 09/14/2007 |
| Medicare PECOS PAC ID | 8022098045 |
|---|---|
| Medicare Enrollment ID | O20040721000940 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245425073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A54904 (California) | Primary |
| Provider Name | Gennady Musher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730210352 PECOS PAC ID: 0840323390 Enrollment ID: I20100804000306 |
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