Healthcare Provider Details

I. General information

NPI: 1760356083
Provider Name (Legal Business Name): LAWEST CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2025
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10700 VENTURA BLVD STE E
STUDIO CITY CA
91604-4617
US

IV. Provider business mailing address

10700 VENTURA BLVD STE E
STUDIO CITY CA
91604-4617
US

V. Phone/Fax

Practice location:
  • Phone: 949-795-2446
  • Fax:
Mailing address:
  • Phone: 949-795-2446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: IGOR POGORELOV
Title or Position: CEO
Credential:
Phone: 949-795-2446