Provider Demographics
NPI:1982996799
Name:STOLYAROV, YANA (MD)
Entity Type:Individual
Prefix:
First Name:YANA
Middle Name:
Last Name:STOLYAROV
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 1:8700 BEVERLY BLVD
Mailing Address - Street 2:BECKER BUILDING, ROOM 131-A
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90048-1804
Mailing Address - Country:US
Mailing Address - Phone:310-423-6486
Mailing Address - Fax:310-423-0440
Practice Address - Street 1:8700 BEVERLY BLVD
Practice Address - Street 2:BECKER BUILDING, ROOM 131-A
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1804
Practice Address - Country:US
Practice Address - Phone:310-423-6486
Practice Address - Fax:310-423-0440
Is Sole Proprietor?:No
Enumeration Date:2011-05-11
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA127563207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism