Individual
MRS. NATALIA USMANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18044 VALLEY VISTA BLVD, ENCINO, CA 91316-4223
(818) 943-8454
(619) 393-0830
Mailing address
18044 VALLEY VISTA BLVD, ENCINO, CA 91316-4223
(818) 943-8454
(619) 393-0830
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
13099
CA
Other
Enumeration date
05/01/2008
Last updated
02/03/2010
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