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NPI Code Detail

MEDICARE: YANA YARCHUK PA-C

MEDICARE: YANA YARCHUK PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant20146CA

General Provider Information

NPI Number : 1366677254
Entity Type Code : Individual
Provider Name (Legal Business Name) : YANA YARCHUK PA-C
Provider Business Mailing Address
First Line : 13344 GOLDEN VALLEY LN
Second Line :
City : GRANADA HILLS
State : CA
Zip : 91344-1118
Country : US
Telephone Number : 805-215-2925
Fax Number :
Provider Business Practice Location Address
First Line : 2055 LINCOLN AVE
Second Line :
City : PASADENA
State : CA
Zip : 91103-1324
Country : US
Telephone Number : 888-499-9303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2009
Last Update Date : 05/28/2026

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Directions to “ YANA YARCHUK PA-C” Practice Location

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