MEDICARE: OKSANA SEMENTCHOUK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	95038174	CA

General Provider Information

NPI Number	:	1437006228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OKSANA SEMENTCHOUK

Provider Business Mailing Address
First Line	:	7640 TAMPA AVE STE 107
Second Line	:
City	:	RESEDA
State	:	CA
Zip	:	91335-1713
Country	:	US
Telephone Number	:	818-625-4444
Fax Number	:	747-267-7878

Provider Business Practice Location Address
First Line	:	7640 TAMPA AVE STE 107
Second Line	:
City	:	RESEDA
State	:	CA
Zip	:	91335-1713
Country	:	US
Telephone Number	:	818-625-4444
Fax Number	:	747-267-7878

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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Directions to “ OKSANA SEMENTCHOUK ” Practice Location

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