ELENA SHOSTAK

VAN NUYS, CA
NPI1831644020
Former NameELENI KREIZIDI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  53310)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: CA  53310)
363AS0400X Physician Assistant, Surgical
(Licence: CA  53310)
Enumeration Date2016-08-18
Last Update Date2016-08-29
Business Address
Mrs. ELENA SHOSTAK PA-C
14600 SHERMAN WAY STE 250
VAN NUYS, CA 91405-2284
Phone number: 818-212-2223
Mailing Address
Mrs. ELENA SHOSTAK PA-C
6021 LINDLEY AVE UNIT 8
TARZANA, CA 91356-1726
Phone number: 323-788-8277