MEDICARE: MR. ALEXSEY CHETVERUKHIN M.D.

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
1	2084P0800X	Psychiatry Physician	A70079B	CA

General Provider Information

NPI Number	:	1407951825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALEXSEY CHETVERUKHIN M.D.

Provider Business Mailing Address
First Line	:	7607 SANTA MONICA BLVD STE 28
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90046-6400
Country	:	US
Telephone Number	:	323-650-2991
Fax Number	:	323-650-2993

Provider Business Practice Location Address
First Line	:	23501 CINEMA DR STE 200
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91355-5430
Country	:	US
Telephone Number	:	661-288-4800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	07/16/2024

Similar Medicare Providers

1134062490 — MR. CHRIS ROBERT LONG
Practice Location Address:

23501 CINEMA DR STE 200
VALENCIA, CA
91355-5430

Practice Phone: 661-288-4800
Practice Fax:

1679416879 — SEBASTIAN G GONZALEZ
Practice Location Address:

23501 CINEMA DR STE 200
VALENCIA, CA
91355-5430

Practice Phone: 661-288-4800
Practice Fax:

1790718112 — LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Practice Location Address:

23501 CINEMA DR STE 200
VALENCIA, CA
91355-5430

Practice Phone: 661-288-4800
Practice Fax: 661-254-3094

1649366337 — MR. DARREN D'VANCE NELSON B. A.
Practice Location Address:

23501 CINEMA DR STE 210
VALENCIA, CA
91355-5430

Practice Phone: 666-288-4800
Practice Fax:

1447337589 — REGINA ANNE HEARN LCSW
Practice Location Address:

23501 CINEMA DR STE 210
VALENCIA, CA
91355-5430

Practice Phone: 661-288-4804
Practice Fax: 661-254-3094

1861689325 — ELIDIA OLMOS LCSW
Practice Location Address:

23501 CINEMA DR STE 210
VALENCIA, CA
91355-5430

Practice Phone: 661-288-4800
Practice Fax:

Directions to “ MR. ALEXSEY CHETVERUKHIN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.