# YELENA KABANSKAYA MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932786910
- **Authorized official:** YELENA KABANSKAYA MD (PRESIDENT)
- **Authorized official phone:** (408) 761-3245

## Contact information

- **Practice address:** 2425 SAMARITAN DR, SAN JOSE, CA 95124-3997
- **Practice address phone:** (408) 559-2011
- **Mailing address:** 6081 MERIDIAN AVE STE 70, \#155, SAN JOSE, CA 95120-2752
- **Mailing address phone:** (408) 761-3245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 03/26/2021
- **Last updated:** 03/26/2021