WESTSIDE MULTI-SPECIALTY MEDICAL GROUP, INC.
Marriage and Family Therapists at Wilshire Blvd, Los Angeles, CA

License number
California FNP34645
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: MRS. SOUSANNA LACHTCHOUK NP
Title: OFFICER
Phone: (323) 933-7200
Address
Address
6200 Wilshire Blvd SUITE 1212, Los Angeles, CA 90048
National Provider ID: 1083879324
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WESTSIDE MULTI-SPECIALTY MEDICAL GROUP, INC

6200 Wilshire Blvd STE 1212, Los Angeles, CA 90048

Status:
Inactive
Industry:
Health/Allied Services
Doing business as:
Westside Multi-Specialty Medical Group
Registration:
Aug 24, 2005
Phone:
(323) 933-7200 (Phone)
State ID:
C2798672
Business type:
Articles of Incorporation
President, Nurse Practitioner, Officer, Principals:
Alexander Z. Rivkin President, inactive,Sousanna Lachtchouk President, Nurse Practitioner, Officer, Principal, inactive
Agent:
Leonora Kogan,Los Angeles, CA 90025 (Physical)
Categories:
Group Medical Practice

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