Healthcare Provider Details

I. General information

NPI: 1861312415
Provider Name (Legal Business Name): STELLAR HEALTH GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14349 VICTORY BLVD STE 203
VAN NUYS CA
91401-6521
US

IV. Provider business mailing address

14349 VICTORY BLVD STE 203
VAN NUYS CA
91401-6521
US

V. Phone/Fax

Practice location:
  • Phone: 213-957-3005
  • Fax:
Mailing address:
  • Phone: 213-957-3005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: VIACHESLAV SYTNIK
Title or Position: OWNER
Credential:
Phone: 213-957-3005