Search › California › 363A00000X
Vitaliy Kostyukevich, PA-C
NPI 1376881227 · on the registry since 2013
Practice
- Address
- 4112 E Commerce Way
Sacramento, CA 95834 - Phone
- (916) 396-2929
- Organisation at this address
- Med-7 Urgent Care Center Medical Group
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
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
- 2022-01-03
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