Individual
ROMAN ALEKSEYEVICH KONDRATYUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(323) 804-7252
Mailing address
1724 N HIGHLAND AVE APT 525, LOS ANGELES, CA 90028-4422
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
95139059
CA
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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