Doctor Name: | MR. MARAT SHPOLYANSKY |
NPI Number: | 1932450954 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | N.P. |
License Number: | 806846 |
Business Practice Address: | 3831 Hughes Ave Suite# 506 Culver City, CA - 902322751 |
Business Phone Number: | 3102809670 |
Business Fax Number: | |
Mailing Address: | 13920 Emelita St, VAN NUYS |
State: | CA |
Postal Code: | 914014339 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/01/2012 |
NPI Last Update Date: | 04/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163W00000X |
License Number: | 806846 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N. |