Kvichko, Elena R

Kvichko, Elena R is an individual health care provider with primary practice located at 5762 Bolsa Ave Ste 107 , Huntington Beach CA 92649-1172. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Kvichko, Elena R can be contacted via phone (714) 898-0362.

Contact Information

Primary practice address
5762 Bolsa Ave Ste 107 Huntington Beach CA 92649-1172
Phone: (714) 898-0362
Fax: (714) 893-3262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A89532 California

Profile Details

NPI number 1902926439
LBN Legal business name Kvichko, Elena R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Dec 29th, 2021 - 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 1902926439 NPPES
Other 486059932 UNITES STATES OF AMERICA PASSPORT
Other A8771500 UNITES STATES OF AMERICA PASSPORT

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