Individual
YELENA VAYNEROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7559 SANTA MONICA BLVD # 201, WEST HOLLYWOOD, CA 90046-6406
(323) 878-2523
(323) 878-2556
Mailing address
7559 SANTA MONICA BLVD # 201, WEST HOLLYWOOD, CA 90046-6406
(323) 878-2523
(323) 878-2556
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A38812
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A388121
—
CA
01
—
A38812B
BLUE CROSS PROVIDER NUMBE
CA
Enumeration date
07/03/2006
Last updated
07/09/2007
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