Provider Demographics
NPI:1760569263
Name:LENSKY, GALINA (MD)
Entity Type:Individual
Prefix:DR
First Name:GALINA
Middle Name:
Last Name:LENSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 542
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91365-0542
Mailing Address - Country:US
Mailing Address - Phone:818-995-1032
Mailing Address - Fax:818-995-5765
Practice Address - Street 1:4419 VAN NUYS BLVD STE 302
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-5726
Practice Address - Country:US
Practice Address - Phone:818-995-1032
Practice Address - Fax:818-995-5765
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA435262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A435260Medicaid
CAA43526CMedicare ID - Type Unspecified
CA00A435260Medicaid