IndividualActive
Yulia Kustova, P.A.
NPI 1003121203 · Physician Assistant · Los Angeles, CA
Provider details
- NPI number
- 1003121203
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- No
- License
- PA20749 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2121 S San Pedro St Ste E
Los Angeles, CA 90011-1161
Phone: (213) 742-0300
Approximate (ZIP-level) locationGet directions
Mailing address
7000 Hawthorn Ave Apt 304
Los Angeles, CA 90028-6963
Additional practice locations (1)
- 20440 Sherman WayCanoga Park, CA 91306-3110Phone: (818) 346-2395Fax: (818) 346-4591
Registry dates
- Enumerated
- 2010-08-11
- Last updated
- 2023-06-15
- Certified
- 2023-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.