Pustilnikov, Yevgeniy
Pustilnikov, Yevgeniy is an sole proprietor health care provider with primary practice located at 1335 N La Brea Ave Apt#105, Los Angeles CA 90028-7526. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Pustilnikov, Yevgeniy can be contacted via phone (323) 829-9261.Contact Information
Primary practice address
1335 N La Brea Ave Apt#105
Los Angeles CA 90028-7526
Phone: (323) 829-9261
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 18429 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 364SG0600X | 3055 | California |
Profile Details
| NPI number | 1053561290 |
|---|---|
| LBN Legal business name | Pustilnikov, Yevgeniy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 24th, 2008 |
| Last updated | Sep 24th, 2008 - about 16 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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