Healthcare Provider Details

I. General information

NPI: 1700723343
Provider Name (Legal Business Name): ZOYA VLADIMIRSKAYA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6345 BALBOA BLVD STE 315
ENCINO CA
91316-1500
US

IV. Provider business mailing address

5353 VANALDEN AVE
TARZANA CA
91356-3106
US

V. Phone/Fax

Practice location:
  • Phone: 213-841-9437
  • Fax:
Mailing address:
  • Phone: 213-841-9437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95039402
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: