NPI 1003121203

Yulia Kustova, PA

Practitioner Physician Assistant Los Angeles, CA

Practice location

Address: 2121 S San Pedro St STE E, Los Angeles, CA 90011-1161
Phone: (213) 742-0300
Mailing address: 7000 Hawthorn Ave APT 304, Los Angeles, CA 90028-6963

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA20749 (CA)

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Registry record

NPI: 1003121203
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Aug 2010
Record last updated: 15 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.