Provider Demographics
NPI:1295009306
Name:KIEVSKY, ALINA (NP)
Entity Type:Individual
Prefix:
First Name:ALINA
Middle Name:
Last Name:KIEVSKY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8631 W 3RD ST STE 1140
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-5965
Mailing Address - Country:US
Mailing Address - Phone:310-854-3972
Mailing Address - Fax:310-652-4053
Practice Address - Street 1:7119 1/2 W SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90046-4411
Practice Address - Country:US
Practice Address - Phone:310-854-3972
Practice Address - Fax:310-652-4053
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-07
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21671363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily