Provider Demographics
NPI:1861425332
Name:VASSILENKO SEARCY, EKATERINA (MD)
Entity type:Individual
Prefix:DR
First Name:EKATERINA
Middle Name:
Last Name:VASSILENKO SEARCY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EKATERINA
Other - Middle Name:VASSILENKO
Other - Last Name:SEARCY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:650 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-2960
Mailing Address - Country:US
Mailing Address - Phone:951-791-3300
Mailing Address - Fax:951-791-3333
Practice Address - Street 1:1530 MAIN ST STE 5
Practice Address - Street 2:
Practice Address - City:RAMONA
Practice Address - State:CA
Practice Address - Zip Code:92065-5244
Practice Address - Country:US
Practice Address - Phone:760-789-6389
Practice Address - Fax:760-789-6389
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA0551582084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry