Avetisov, Vladislav David

Avetisov, Vladislav David is an individual health care provider with primary practice located at 1501 Skyline Dr , Monterey CA 93940-4110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Avetisov, Vladislav David can be contacted via phone (831) 373-3716.

Contact Information

Primary practice address
1501 Skyline Dr Monterey CA 93940-4110
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 304751 California

Profile Details

NPI number 1891570750
LBN Legal business name Avetisov, Vladislav David
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2023
Last updated Aug 29th, 2023 - about 3 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.

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