Vadim Chudnovsky, M.D., Inc.

LBN: Vadim Chudnovsky, M.D., Inc.
Vadim Chudnovsky, M.D., Inc. is an health care organization with primary practice located at 1440 S State College Blvd Suite 3-M, Anaheim CA 92806-5724. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Vadim Chudnovsky, M.D., Inc. can be contacted via phone (714) 758-2985, or through Chudnovsky, Vadim via phone (714) 758-2985.

Contact Information

Primary practice address
1440 S State College Blvd Suite 3-M Anaheim CA 92806-5724
Fax: (714) 758-0770
Website:
Authorized official contact:
Name: Chudnovsky, Vadim Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A48658 California

Profile Details

NPI number 1851589519
LBN Legal business name Vadim Chudnovsky, M.D., Inc.
DBA Doing business as
Authorized official Chudnovsky, Vadim Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2007
Last updated Oct 9th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851589519 NPPES
California MEDICAID 00A486580

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