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Contact Information

VITALY A KUSHNIR, MD
11160 WARNER AVE STE 411
FOUNTAIN VALLEY, CA92708-4056
 Phone: 714-513-1399
 Fax: 714-513-1393
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Reproductive Endocrinology

207VE0102X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for VITALY A KUSHNIR · (Male)

NPI # 1750526265
Status Active
Credentials MD
Entity Individual
Enumeration date 12/12/2008
Last updated 06/27/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 134759
  • NY License # 265461
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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