Elena R Kvichko in Rancho Palos Verdes - Psychiatry

Elena R Kvichko - NPI 1902926439

Elena R Kvichko is a Psychiatry in Rancho Palos Verdes, California. Elena R Kvichko practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Elena R Kvichko is 1902926439. The last update date is 2021-12-29.

Elena R Kvichko's current location address is 28364 S Western Ave # 494, Rancho Palos Verdes, California. You can contact this provider via phone number 8186182412 and fax number 7148933262. The mailing address for Elena R Kvichko is 28364 S Western Ave # 494, Rancho Palos Verdes, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Elena R Kvichko
Address 28364 S Western Ave # 494, Rancho Palos Verdes, California
Phone Number 8186182412
Fax Number 7148933262
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1902926439
Provider Enumeration Date 2007-03-29
Last Updated Date 2021-12-29

Provider Mailing Address Detail

Address 28364 S Western Ave # 494
City Rancho Palos Verdes
State California (CA)
Post Code 902751434
Phone Number 8186182412
Fax Number 7148933262

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No A89532
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
486059932 UNITES STATES OF AMERICA PASSP
A8771500 CA CALIFORNIA DRIVER LICENSE

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FAQs about Elena R Kvichko

What is the unique identification code assigned to Elena R Kvichko by the Centers for Medicare & Medicaid Services?

The Elena R Kvichko has been issued the NPI (National Provider Identifier) 1902926439. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Elena R Kvichko is geographically located?

The Elena R Kvichko is physically situated at the following location: 28364 S Western Ave # 494, Rancho Palos Verdes, CA, 902751434.

What is Elena R Kvichko's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Elena R Kvichko is Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0800X.

On what date was the 1902926439 assigned to Elena R Kvichko?

The Elena R Kvichko was issued its 1902926439 on 2007-03-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Elena R Kvichko, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Elena R Kvichko, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-12-29.

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