Provider Demographics
NPI:1457681389
Name:PECHENIK, YANA (PA)
Entity Type:Individual
Prefix:
First Name:YANA
Middle Name:
Last Name:PECHENIK
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13331 MOORPARK ST APT 112
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-3947
Mailing Address - Country:US
Mailing Address - Phone:818-434-3526
Mailing Address - Fax:
Practice Address - Street 1:13331 MOORPARK ST APT 112
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-3947
Practice Address - Country:US
Practice Address - Phone:818-434-3526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-24
Last Update Date:2009-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant