Provider Demographics
NPI:1760918734
Name:NUZHNY, VALENTIN (MD)
Entity Type:Individual
Prefix:
First Name:VALENTIN
Middle Name:
Last Name:NUZHNY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91275 66TH AVE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:MECCA
Mailing Address - State:CA
Mailing Address - Zip Code:92254-1251
Mailing Address - Country:US
Mailing Address - Phone:760-393-1249
Mailing Address - Fax:760-393-1253
Practice Address - Street 1:91275 66TH AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:MECCA
Practice Address - State:CA
Practice Address - Zip Code:92254-1251
Practice Address - Country:US
Practice Address - Phone:760-393-1249
Practice Address - Fax:760-393-1253
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA164107207QS1201X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Yes207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep Medicine