| Ivan Iudin, | |
|
1601 N Poinsettia Pl Apt 104, Los Angeles, CA 90046-3521 | |
| (424) 382-5575 | |
| Not Available |
| Full Name | Ivan Iudin |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 1601 N Poinsettia Pl Apt 104, Los Angeles, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245027069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 98002 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ivan Iudin, 1630 N Edgemont St Apt F1, Los Angeles, CA 90027-5218 Ph: (424) 382-5575 | Ivan Iudin, 1601 N Poinsettia Pl Apt 104, Los Angeles, CA 90046-3521 Ph: (424) 382-5575 |
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