Alexander Shustorovich
Pain Medicine
9400 Campus Point Dr
La Jolla
, California 92093-1350
Alexander Shustorovich
Pain Medicine
9400 Campus Point Dr
La Jolla
, California 92093-1350
(347) 628-8600
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Alexander Shustorovich
- 9400 Campus Point Dr
- La Jolla, CA
- Zip : 92093-1350
- Phone : (347) 628-8600
Second Address
- Alexander Shustorovich
- 9400 Campus Point Dr
- La Jolla, CA
- Zip : 92093-1350
- Phone : (347) 628-8600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081P2900X | Pain Medicine | 20A18728 | CA |
National Provider Identifier
| NPI | 1306372552 |
|---|---|
| Provider Name | Alexander Shustorovich |
| First Address | La Jolla, CA 92093-1350 |
| Second Address | La Jolla, CA 92093-1350 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2017 |
| Last Update Date | 04/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.