Mr Dmitriy Victor Puchkarev, ASW in Los Angeles, CA - Student in an Organized Health Care Education/Training Program

Mr Dmitriy Victor Puchkarev, ASW is a Student In An Organized Health Care Education/training Program based in Los Angeles, California. Mr Dmitriy Victor Puchkarev is licensed to practice in * (Not Available) (license number ) and his current practice location is 10943 National Blvd Apt 6, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at (858) 213-9391.

NPI number for Mr Dmitriy Victor Puchkarev is 1215537121 and his current mailing address is 10943 National Blvd Apt 6, Los Angeles, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215537121.

Contact Information

	Mr Dmitriy Victor Puchkarev, ASW
	10943 National Blvd Apt 6, Los Angeles, CA 90064-4052
	(858) 213-9391
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Dmitriy Victor Puchkarev
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	10943 National Blvd Apt 6, Los Angeles, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1215537121
Provider Enumeration Date: 10/29/2020
Last Update Date: 06/05/2024

Medical Identifiers

Medical identifiers for Mr Dmitriy Victor Puchkarev such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215537121	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Dmitriy Victor Puchkarev is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Dmitriy Victor Puchkarev, ASW 10943 National Blvd Apt 6, Los Angeles, CA 90064-4052 Ph: (858) 213-9391	Mr Dmitriy Victor Puchkarev, ASW 10943 National Blvd Apt 6, Los Angeles, CA 90064-4052 Ph: (858) 213-9391

Mr Dmitriy Victor Puchkarev, ASW - Counselor in Los Angeles, CA