| Yaroslav Kushnir M.d., Inc | |
|
709 Third Ave Chula Vista CA 91910-5803 | |
| (619) 585-3000 | |
| (619) 585-3002 |
| Full Name | Yaroslav Kushnir M.d., Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 709 Third Ave, Chula Vista, California |
| Authorized Official Name and Position | Yaroslav Kushnir (OWNER) |
| Authorized Official Contact | 6195853000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yaroslav Kushnir M.d., Inc 709 Third Ave Chula Vista CA 91910-5803 Ph: (619) 585-3000 | Yaroslav Kushnir M.d., Inc 709 Third Ave Chula Vista CA 91910-5803 Ph: (619) 585-3000 |
| NPI Number | 1992061923 |
|---|---|
| Provider Enumeration Date | 04/04/2012 |
| Last Update Date | 04/04/2012 |
| Medicare PECOS PAC ID | 5193989044 |
|---|---|
| Medicare Enrollment ID | O20120606000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992061923 | NPI | - | NPPES |
| 00G242380 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G24238 (California) | Primary |
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