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NPI Code Detail

MEDICARE: DR. VICTORIA ALAEV M.D.

MEDICARE:  DR. VICTORIA  ALAEV  M.D.
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
1208000000XPediatrics PhysicianA78360CA

General Provider Information

NPI Number : 1760434005
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VICTORIA ALAEV M.D.
Provider Business Mailing Address
First Line : 12157 VICTORY BLVD.
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91606-0000
Country : US
Telephone Number : 818-755-8000
Fax Number : 818-755-8006
Provider Business Practice Location Address
First Line : 12157 VICTORY BLVD.
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91606-0000
Country : US
Telephone Number : 818-755-8000
Fax Number : 818-755-8006
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 07/09/2007

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