Vassilev, Gregory

Vassilev, Gregory is an sole proprietor health care provider with primary practice located at 6815 Noble Ave , Van Nuys CA 91405-3796. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Vassilev, Gregory can be contacted via phone (818) 901-6600.

Contact Information

Primary practice address
6815 Noble Ave Van Nuys CA 91405-3796
Phone: (818) 901-6600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A63560 California
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X A63560 California

Profile Details

NPI number 1073539748
LBN Legal business name Vassilev, Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Jun 6th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073539748 NPPES
California MEDICAID 00A635600

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