Healthcare Provider Details

I. General information

NPI: 1215172267
Provider Name (Legal Business Name): OKSANA DOLINSKIY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2008
Last Update Date: 05/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 W OLYMPIC BLVD #505
LOS ANGELES CA
90036-4667
US

IV. Provider business mailing address

2601 W ALAMEDA AVE #210
BURBANK CA
91505-4800
US

V. Phone/Fax

Practice location:
  • Phone: 323-930-2324
  • Fax: 323-930-2497
Mailing address:
  • Phone: 818-840-0921
  • Fax: 818-840-7064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number18113
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: