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Organization

YAROSLAV KUSHNIR M.D., INC

Active
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Organization

YAROSLAV KUSHNIR M.D., INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YAROSLAV KUSHNIR M.D. (OWNER)
(619) 585-3000
Entity
Organization

Contact information

Practice address
709 THIRD AVE, CHULA VISTA, CA 91910-5803
(619) 585-3000
(619) 585-3002
Mailing address
709 THIRD AVE, CHULA VISTA, CA 91910-5803
(619) 585-3000
(619) 585-3002

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G24238
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G242380
CA
Enumeration date
04/04/2012
Last updated
04/04/2012
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