Vadim Gudzenko in Los Angeles - Plastic Surgery Within The Head And Neck
Vadim Gudzenko - NPI 1912111956
Vadim Gudzenko is a Plastic Surgery Within The Head And Neck in Los Angeles, California. Vadim Gudzenko practices all healthcare services and medical treatments related to Plastic Surgery Within The Head And Neck. The NPI Number for Vadim Gudzenko is 1912111956. The last update date is 2019-12-26.
Vadim Gudzenko's current location address is 757 Westwood Plz Ste 3325, Los Angeles, California. You can contact this provider via phone number 3102678642 and fax number 3102673899. The mailing address for Vadim Gudzenko is 757 Westwood Plz Ste 3325, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vadim Gudzenko |
|---|---|
| Address | 757 Westwood Plz Ste 3325, Los Angeles, California |
| Phone Number | 3102678642 |
| Fax Number | 3102673899 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1912111956 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2019-12-26 |
Provider Mailing Address Detail
| Address | 757 Westwood Plz Ste 3325 |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900951437 |
| Phone Number | 3102678642 |
| Fax Number | 3102673899 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head And Neck |
|---|---|
| Taxonomy | 2082S0099X |
| Licence No | A101905 |
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Definition: A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0A1019050 | CA | -- |
Post Comment/ Review Below
What is the Vadim Gudzenko's unique identification number?
The Vadim Gudzenko has been assigned the NPI (National Provider Identifier) Number 1912111956 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Vadim Gudzenko is physically located?
The Vadim Gudzenko is situated at the following address: 757 Westwood Plz Ste 3325, Los Angeles, CA 900951437.
What is Vadim Gudzenko's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Vadim Gudzenko is Plastic Surgery Within The Head And Neck, and the taxonomy code that classifies this field of practice is 2082S0099X.
On what date did the Centers for Medicare & Medicaid Services assign the 1912111956 to Vadim Gudzenko?
The Centers for Medicare & Medicaid Services assigned the 1912111956 to Vadim Gudzenko on 2007-05-09.
When was the information regarding Vadim Gudzenko, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Vadim Gudzenko, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-12-26.
NPI Number: 1972505162
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