MEDICARE: OKSANA BOIKO

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	1041C0700X	Clinical Social Worker	125505	CA

General Provider Information

NPI Number	:	1710537394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OKSANA BOIKO

Provider Business Mailing Address
First Line	:	2801 OCEAN PARK BLVD
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90405-2905
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2801 OCEAN PARK BLVD
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90405-2905
Country	:	US
Telephone Number	:	424-781-7159
Fax Number	:

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

Provider Enumeration Date	:	09/16/2019
Last Update Date	:	11/29/2025

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Directions to “ OKSANA BOIKO ” Practice Location

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