Healthcare Provider Details

I. General information

NPI: 1902947013
Provider Name (Legal Business Name): GALINA NURBEKYANTS RDNS, RVT, RDCS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1672 N WESTERN AVE 320
LOS ANGELES CA
90027-4853
US

IV. Provider business mailing address

1672 N WESTERN AVE 320
LOS ANGELES CA
90027-4853
US

V. Phone/Fax

Practice location:
  • Phone: 323-962-5770
  • Fax:
Mailing address:
  • Phone: 323-962-5770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246XS1301X
TaxonomySonography Specialist/Technologist Cardiovascular
License Number102354
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: