Yulia Kustova P.A.

NPI 1003121203 - Physician Assistant - 363A00000X

NPI Details
NPI 1003121203
Gender Female
Enumeration Date 08/11/2010
Last Updated 08/11/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2121 S SAN PEDRO ST STE E
LOS ANGELES CA, 90011-1161, US
Phone (213) 742-0300
Fax
Business Location
7000 HAWTHORN AVE APT 304
LOS ANGELES CA, 90028-6963, US
Phone (323) 350-2220
Fax
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA20749
Remove 1003121203 NPI Number
 

According to our database, Mrs. Yulia Kustova P.A. NPI is 1003121203, taxonomy code is 363A00000X and license number is PA20749, license state is located at California. Yulia Kustova P.A. physically located at 2121 S San Pedro St Ste E, Los Angeles CA, 90011-1161. NPI Number Yulia Kustova P.A. has the Individual type.

Sponsored links

1003121203 NPI number is provided on an as is basis without warranty of any kind. 1003121203 is maintained by the National Plan & Provider Enumeration System. The contents of Yulia Kustova P.A. are for informational purposes only.