Search › California › 111N00000X
Pavel Kostyshak, DC
NPI 1417781451 · on the registry since 2024
Practice
- Address
- 191 Lynch Creek Way
#204
Petaluma, CA 94954 - Phone
- (707) 776-6445
- Organisation at this address
- Robert Park M.D.
Parinaz Azari Md Inc
Cm Health And Wellbeing
Sequoia Senior Solutions, Inc.
Pacific Advanced Surgical ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-30
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