| Boris Zhalkovsky Medical Corporation | |
|
809 Laurel St Unit 6912 San Carlos CA 94070-7766 | |
| (650) 219-3600 | |
| Not Available |
| Full Name | Boris Zhalkovsky Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 809 Laurel St Unit 6912, San Carlos, California |
| Authorized Official Name and Position | Boris Zhalkovsky (THE PRESIDENT) |
| Authorized Official Contact | 6502193600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boris Zhalkovsky Medical Corporation 809 Laurel St Unit 6912 San Carlos CA 94070-7766 Ph: (650) 219-3600 | Boris Zhalkovsky Medical Corporation 809 Laurel St Unit 6912 San Carlos CA 94070-7766 Ph: (650) 219-3600 |
| NPI Number | 1710049655 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 09/11/2025 |
| Certification Date | 09/11/2025 |
| Medicare PECOS PAC ID | 9335042100 |
|---|---|
| Medicare Enrollment ID | O20040224001346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710049655 | NPI | - | NPPES |
| 00A563750 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Boris Zhalkovsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518146489 PECOS PAC ID: 7113820986 Enrollment ID: I20040129000389 |
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