MEDICARE: VANTAGGIO CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1992249817
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VANTAGGIO CORP

Provider Business Mailing Address
First Line	:	4108 TUJUNGA AVE APT 3
Second Line	:
City	:	STUDIO CITY
State	:	CA
Zip	:	91604-3057
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4418 VINELAND AVE STE 220
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91602-2159
Country	:	US
Telephone Number	:	818-661-7955
Fax Number	:

Authorized Official
Title or Position	:	OFFICER
Name	:	MR. GENNADY SATANOVSKY
Credential	:
Telephone Number	:	818-661-7955

Provider Enumeration Date	:	12/12/2016
Last Update Date	:	12/12/2016

Similar Medicare Providers

1114020500 — DR. KENYON S LUO MD
Practice Location Address:

4418 VINELAND AVE , SUITE 118
NORTH HOLLYWOOD, CA
91602-2159

Practice Phone: 818-769-0995
Practice Fax: 818-762-0988

1851469217 — DR. JEFFREY J MALONE DC
Practice Location Address:

4418 VINELAND AVE , STE 215
NORTH HOLLYWOOD, CA
91602-2159

Practice Phone: 818-752-1136
Practice Fax:

1851619365 — SUMMERS CHIROPRACTIC & WELLNESS CENTER, INC
Practice Location Address:

4418 VINELAND AVE STE 208
NORTH HOLLYWOOD, CA
91602-2159

Practice Phone: 818-985-4413
Practice Fax:

1174929376 — INNOVATIVE PAIN AND SPINE PHYSICIANS
Practice Location Address:

4418 VINELAND AVE STE 218
NORTH HOLLYWOOD, CA
91602-2159

Practice Phone: 818-621-0019
Practice Fax:

1871985432 — WITHERS CHIROPRACTIC INC
Practice Location Address:

4418 VINELAND AVE STE 218
NORTH HOLLYWOOD, CA
91602-2159

Practice Phone: 818-275-2243
Practice Fax:

1386513232 — VINELAND FAMILY MEDICAL CENTER INC
Practice Location Address:

4418 VINELAND AVE STE 218
NORTH HOLLYWOOD, CA
91602-2159

Practice Phone: 747-724-1825
Practice Fax:

Directions to “VANTAGGIO CORP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.