Search › California › 163W00000X
Irina Bortnovsky
NPI 1386281962 · on the registry since 2019
Practice
- Address
- 5228 Copper Ridge Way
Antelope, CA 95843 - Phone
- (916) 761-0454
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-12-03
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