person
Pete Petriashvili
Student in an Organized Health Care Education/Training Program in Los Angeles, California
NPI 1306177654

Pete Petriashvili is a Student in an Organized Health Care Education/Training Program based in Los Angeles, CA. Pete Petriashvili practices in Los Angeles, CA. The NPI Number for Pete Petriashvili is 1306177654 and holds a License No. (California).

The current practice location address for Pete Petriashvili is 11301 Wilshire Blvd, Building 500, Room 4455, Los Angeles, CA and can be reached out via phone at 310-562-2015.

Location: 11301 Wilshire Blvd, Building 500, Room 4455, Los Angeles, CA, 90073
person
Provider Profile Details
NPI Number
1306177654
Provider Name
Pete Petriashvili
Credential
Provider Entity Type
Individual
Gender
Male
Address
11301 Wilshire Blvd, Building 500, Room 4455, Los Angeles, CA, 90073
Phone Number
310-562-2015
Fax Number
Provider Enumeration Date
01/27/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11301 Wilshire Blvd, Building 500, Room 4455
City
State
Zip
90073
Phone Number
310-562-2015
Fax Number
person
Provider Business Mailing Address Details
Address
11301 Wilshire Blvd, Building 500, Room 4455
City
State
Zip
90073
Phone Number
310-562-2015
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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