Advanced Verdugo Medical Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ADVANCED VERDUGO MEDICAL CENTER

Practice address

3920 Eagle Rock Blvd Ste B
Los Angeles, CA 90065-3668

Phone

(323) 507-2387

Fax

(323) 507-2388

NPI assigned

Mar 11, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Oleg Liakhovetski, MD

Title

President/Ceo

Phone

(323) 507-2387

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1497403141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 EAGLE ROCK BLVD STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653668",
            "telephone_number": "323-507-2387",
            "fax_number": "323-507-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 EAGLE ROCK BLVD STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653668",
            "telephone_number": "323-507-2387",
            "fax_number": "323-507-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED VERDUGO MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "LIAKHOVETSKI",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "323-507-2387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.