Individual
YURIY VERPUKHOVSKIY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14860 ROSCOE BLVD, STE.306, PANORAMA CITY, CA 91402-4665
(818) 904-9200
(818) 904-9300
Mailing address
14860 ROSCOE BLVD, STE.306, PANORAMA CITY, CA 91402-4665
(818) 904-9200
(818) 904-9300
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
A76392
CA
2084N0400X
Neurology Physician
Primary
A76392
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A763920
—
CA
01
—
202824485
TAX ID
CA
01
—
A76392
LICENSE
AR
Enumeration date
05/20/2006
Last updated
03/28/2014
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