Sirbiladze, Yelena

Sirbiladze, Yelena is an individual health care provider with primary practice located at 1080 Emeline Ave , Santa Cruz CA 95060-1966. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Sirbiladze, Yelena can be contacted via phone (831) 454-4170.

Contact Information

Primary practice address
1080 Emeline Ave Santa Cruz CA 95060-1966
Phone: (831) 454-4170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A76143 California

Profile Details

NPI number 1124158191
LBN Legal business name Sirbiladze, Yelena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Mar 11th, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124158191 NPPES
California Other ZZZ91891Z SANTA CRUZ COUNTY CA MEDICARE GROUP PTAN#
California Other FHC 70044F SANTA CRUZ COUNTY CA MEDICARE GROUP PTAN#
California Other FHC 70042F SANTA CRUZ COUNTY CA MEDICARE GROUP PTAN#
California Other ZZZ91892Z SANTA CRUZ COUNTY CA MEDICARE GROUP PTAN#
California Other ZZZ92069Z SANTA CRUZ COUNTY CA MEDICARE GROUP PTAN#

Popular Providers