| Sapozhnikov Medical Corporation | |
|
10780 Santa Monica Blvd Ste 350 Los Angeles CA 90025-4779 | |
| (424) 316-1200 | |
| (424) 758-3888 |
| Full Name | Sapozhnikov Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 10780 Santa Monica Blvd Ste 350, Los Angeles, California |
| Authorized Official Name and Position | Igor Sapozhnikov (PHYSICIAN) |
| Authorized Official Contact | 4243161200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sapozhnikov Medical Corporation 10780 Santa Monica Blvd Ste 350 Los Angeles CA 90025-4779 Ph: (424) 316-1200 | Sapozhnikov Medical Corporation 10780 Santa Monica Blvd Ste 350 Los Angeles CA 90025-4779 Ph: (424) 316-1200 |
| NPI Number | 1972342764 |
|---|---|
| Provider Enumeration Date | 05/21/2024 |
| Last Update Date | 05/21/2024 |
| Medicare PECOS PAC ID | 2062954738 |
|---|---|
| Medicare Enrollment ID | O20240610001619 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972342764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Igor Sapozhnikov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932350899 PECOS PAC ID: 0345436838 Enrollment ID: I20101123000588 |
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