Gudzenko, Vadim
Gudzenko, Vadim is an sole proprietor health care provider with primary practice located at 757 Westwood Plz Ste 3325 , Los Angeles CA 90095-1437. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Gudzenko, Vadim can be contacted via phone (310) 267-8642.Contact Information
Primary practice address
757 Westwood Plz Ste 3325
Los Angeles CA 90095-1437
Phone: (310) 267-8642
Fax: (310) 267-3899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | A101905 | California |
| Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck | 2082S0099X | A101905 | California |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A101905 | California |
Profile Details
| NPI number | 1912111956 |
|---|---|
| LBN Legal business name | Gudzenko, Vadim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2007 |
| Last updated | Dec 26th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912111956 | NPPES |
| California | MEDICAID | 0A1019050 |
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