Skuratovich, Boris
Skuratovich, Boris is an sole proprietor health care provider with primary practice located at 3454 Perlita Ave , Los Angeles CA 90039-1932. He recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as his primary health care specialty. Skuratovich, Boris can be contacted via phone (323) 665-6893.Contact Information
Primary practice address
3454 Perlita Ave
Los Angeles CA 90039-1932
Phone: (323) 665-6893
Fax: (323) 658-5533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | 197608929 | California |
Profile Details
| NPI number | 1538542360 |
|---|---|
| LBN Legal business name | Skuratovich, Boris |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2015 |
| Last updated | Jun 29th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538542360 | NPPES |
| California | MEDICAID | 47-3194585 |
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