Healthcare Provider Details

I. General information

NPI: 1508270273
Provider Name (Legal Business Name): MRS. ALEXANDRA ESKIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS ALEXANDRA ABRAMCHAYEVA

II. Dates (important events)

Enumeration Date: 06/20/2014
Last Update Date: 06/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 BEVERLY BLVD SUITE B220
WEST HOLLYWOOD CA
90048-1804
US

IV. Provider business mailing address

5243 YARMOUTH AVE UNIT 35
ENCINO CA
91316-3109
US

V. Phone/Fax

Practice location:
  • Phone: 310-423-5252
  • Fax:
Mailing address:
  • Phone: 323-594-6733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number707382
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: