Petrovic, Lidija
Petrovic, Lidija is an individual health care provider with primary practice located at 1510 San Pablo St Fl 6 , Los Angeles CA 90033-5320. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Petrovic, Lidija can be contacted via phone (323) 442-4815.Contact Information
Primary practice address
1510 San Pablo St Fl 6
Los Angeles CA 90033-5320
Phone: (323) 442-4815
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 226218 | New York |
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | A52273 | California |
Profile Details
| NPI number | 1457326266 |
|---|---|
| LBN Legal business name | Petrovic, Lidija |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Dec 11th, 2013 - about 11 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 | 1457326266 | NPPES |
| California | Other | ZZZ54738Z | GROUP BLUE SHIELD # |
| California | Other | ZZZ94714Z | GROUP BLUE SHIELD # |
| California | Other | W7801B | GROUP BLUE SHIELD # |
| California | Other | GR0101420 | GROUP BLUE SHIELD # |
| California | Other | LAB28654F | GROUP BLUE SHIELD # |
| California | Other | HW7801B | GROUP BLUE SHIELD # |
| California | Other | HW7801A | GROUP BLUE SHIELD # |
| California | Other | ZZZ31029Z | GROUP BLUE SHIELD # |
| California | Other | GR0101421 | GROUP BLUE SHIELD # |
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