| Mrs Yulia Kustova, PA | |
|
2121 S San Pedro St Ste E, Los Angeles, CA 90011-1161 | |
| (213) 742-0300 | |
| Not Available |
| Full Name | Mrs Yulia Kustova |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 2121 S San Pedro St Ste E, Los Angeles, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003121203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA20749 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florence Western Medical Clinic Inc | 1850485962 | 9 |
| Entity Name | Florence Western Medical Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154347797 PECOS PAC ID: 1850485962 Enrollment ID: O20070920000311 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Yulia Kustova, PA 7000 Hawthorn Ave Apt 304, Los Angeles, CA 90028-6963 Ph: (323) 350-2220 | Mrs Yulia Kustova, PA 2121 S San Pedro St Ste E, Los Angeles, CA 90011-1161 Ph: (213) 742-0300 |
Vadim Galperin, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5059 York Blvd, Los Angeles, CA 90042 Phone: 323-344-4144 Fax: 323-344-4146 |
Anoosheh Nikkar, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1300 N Vermont Ave, #1006, Los Angeles, CA 90027 Phone: 323-361-2169 |
Duy Dinh, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8631 W 3rd St, 715e, Los Angeles, CA 90048 Phone: 310-278-8330 |
Ashton Rhodes Greenblatt, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1445 N La Brea Ave, Los Angeles, CA 90028 Phone: 323-798-5158 |
Ara Ko, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1450 San Pablo St Ste 2000, Los Angeles, CA 90033 Phone: 323-442-5908 |
Sean Jin Hyuk Lee, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 Ucla Medical Plz Ste 140, Los Angeles, CA 90095 Phone: 310-794-2536 |
Jasmine E Gillett, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Ucla Medical Plz Ste B265, Los Angeles, CA 90095 Phone: 310-825-9775 |