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Sergey Pustovoy
NPI 1063769362 · on the registry since 2012 · sole proprietor
Practice
- Address
- 7433 Greenback Ln Ste I
Citrus Heights, CA 95610 - Phone
- (916) 470-8424
- Organisation at this address
- Citrus Plaza Medical Supply
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-08-11
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