Doctor Name: | YURIY VERPUKHOVSKIY |
NPI Number: | 1053365270 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A76392 |
Business Practice Address: | 14860 Roscoe Blvd Ste.306 Panorama City, CA - 914024665 |
Business Phone Number: | 8189049200 |
Business Fax Number: | 8189049300 |
Mailing Address: | 14860 Roscoe Blvd, Ste.306 PANORAMA CITY |
State: | CA |
Postal Code: | 914024665 |
Phone Number: | 8189049200 |
Fax Number: | 8189049300 |
NPI Enumeration Date: | 05/20/2006 |
NPI Last Update Date: | 03/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | A76392 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |