Search › California › 163WP0809X
Vitaly Juravsky
NPI 1700158672 · on the registry since 2012
Practice
- Address
- 3853 Rosecrans Street San Diego, Ca
San Diego, CA 92110 - Phone
- (619) 692-8232
- Fax
- (619) 542-4060
Registry record
- Primary taxonomy
- 163WP0809X
163WP0809X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-02-07
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