EGOR MIKHAYLOVSKIY
NPI 1124681416
Student in an Organized Health Care Education/Training Program in Stockton, CA

Active since April 22, 2019
7720 LORRAINE AVE STE 102, STOCKTON, CA 95210(209) 957-8787 Get Directions Write a Review

NPPES record last updated: April 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Egor Mikhaylovskiy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EGOR MIKHAYLOVSKIY (NPI 1124681416) is an individual student in an organized health care education/training program in Stockton, California, licensed in California (41713) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1124681416
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEGOR MIKHAYLOVSKIY
Location Address7720 LORRAINE AVE STE 102Stockton, CA 95210-4203
Mailing Address7720 Lorraine Ave Ste 102Stockton, CA 95210-4203
Sole ProprietorNo
Enumeration DateApril 22, 2019
NPI 1124681416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CA · 41713
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
7720 LORRAINE AVE STE 102, Stockton, CA 95210

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
7720 LORRAINE AVE STE 102
STOCKTON, CA 95210
Student in an Organized Health Care Education/Training Program
7720 LORRAINE AVE STE 102
STOCKTON, CA 95210
Pharmacist
7720 LORRAINE AVE STE 102
STOCKTON, CA 95210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Egor Mikhaylovskiy's NPI number?

The NPI number for Egor Mikhaylovskiy is 1124681416. It was assigned to this individual provider in the NPPES registry on April 22, 2019.

Where is Egor Mikhaylovskiy located?

Egor Mikhaylovskiy practices at 7720 Lorraine Ave Ste 102, Stockton, CA 95210. The listed phone number is (209) 957-8787.

What is Egor Mikhaylovskiy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Egor Mikhaylovskiy was last updated on April 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.