Provider Demographics
NPI:1497305353
Name:KUSHNIR, FELIX
Entity Type:Individual
Prefix:
First Name:FELIX
Middle Name:
Last Name:KUSHNIR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14328 VICTORY BLVD STE K
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-6565
Mailing Address - Country:US
Mailing Address - Phone:818-574-5380
Mailing Address - Fax:818-616-6543
Practice Address - Street 1:14328 VICTORY BLVD STE K
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-6565
Practice Address - Country:US
Practice Address - Phone:818-574-5380
Practice Address - Fax:818-616-6543
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-12
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health