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DR. SVETLANA KRUGLYAKOV M.D NPI 1124107149


NPI Information

NPI: 1124107149
Provider Name: DR. SVETLANA KRUGLYAKOV, M.D
Classification: Pediatrics - 208000000X
Entity Type: Individual

CLIA Number: 05D2289528

Address:
5901 W OLYMPIC BLVD # 503-A
LOS ANGELES, CA
ZIP 90036
Phone: (323) 456-0500
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DR. Svetlana Kruglyakov, M.D is a pediatrics in Los Angeles, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Svetlana Kruglyakov, M.D NPI is 1124107149. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5901 W OLYMPIC BLVD # 503-A
LOS ANGELES, CA
ZIP 90036-667
Phone: (323) 456-0500
Fax: (323) 456-0501

The CLIA number assigned to this NPI record is 05D2289528 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 6/22/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent MedicineA93438CALIFORNIANo
2208000000XPediatricsA93438CALIFORNIAYes
3174400000XSpecialistA93438CALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.