NPI 1003342262
Mint Services
Practice location
- Address
- 12183 Victory Blvd, North Hollywood, CA 91606
- Phone
- (818) 623-8100
- Mailing address
- 11333 Moorpark St # 402, Studio City, CA 91602-2618
Authorised official
- Name
- Gennady Satanovsky
- Title
- Officer
- Phone
- (213) 260-4891
Registered specialties (2)
Physical Therapy Clinic/Center
Primary
Clinical Biochemical Genetics Physician
Registry record
- NPI
- 1003342262
- Entity type
- Organization
- NPI issued
- 10 May 2017
- Record last updated
- 3 Jul 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.