Search › California › 363A00000X
Nikolay Loboda, PA
NPI 1316252356 · on the registry since 2010 · sole proprietor
Practice
- Address
- 1692 S Santa Fe Ave
#F-52
San Jacinto, CA 92583 - Phone
- (951) 654-6596
- Organisation at this address
- Covenant Healthcare, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-08-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California