| Doctor Name: | DR. SVETLANA KRUGLYAKOV |
| NPI Number: | 1124107149 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D |
| License Number: | A93438 |
| Business Practice Address: | 5901 W Olympic Blvd # 503-a Los Angeles, CA - 900364667 |
| Business Phone Number: | 3234560500 |
| Business Fax Number: | 3234560501 |
| Mailing Address: | 234 S Gale Dr Apt 302, BEVERLY HILLS |
| State: | CA |
| Postal Code: | 902115400 |
| Phone Number: | 3109930882 |
| Fax Number: | 3234560501 |
| NPI Enumeration Date: | 11/02/2006 |
| NPI Last Update Date: | 05/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | A93438 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |