MR. YEVGENIY PUSTILNIKOV

Nurse Practitioner - Gerontology

Active Individual
NPI: 1053561290

Practice Address

1335 N LA BREA AVE
APT#105
Los Angeles, CA 90028

Phone: (323) 829-9261

Specialties

Specialty Code Primary License
Nurse Practitioner - Gerontology 363LG0600X Yes 18429 (CA)
Clinical Nurse Specialist - Gerontology 364SG0600X No 3055 (CA)

Frequently Asked Questions

NPI 1053561290 is the National Provider Identifier for MR. YEVGENIY PUSTILNIKOV, a Nurse Practitioner - Gerontology provider located in Los Angeles, CA. This NPI was enumerated on September 24, 2008.
MR. YEVGENIY PUSTILNIKOV practices at 1335 N LA BREA AVE, APT#105, Los Angeles, CA 90028.

Quick Facts

NPI
1053561290
Type
Individual
Enumerated
Sep 24, 2008
Last Updated
Sep 24, 2008

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