| Doctor Name: | INNA BERDICHEVSKY |
| NPI Number: | 1053301077 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 15049 |
| Business Practice Address: | 25775 Mcbean Pkwy Valencia, CA - 913553708 |
| Business Phone Number: | 6614248848 |
| Business Fax Number: | |
| Mailing Address: | Po Box 9602, MISSION HILLS |
| State: | CA |
| Postal Code: | 913469602 |
| Phone Number: | 8188375637 |
| Fax Number: | 8188375589 |
| NPI Enumeration Date: | 10/21/2005 |
| NPI Last Update Date: | 05/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | 15049 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |