SERGEY DMITRIYEVICH KUSTOV PHARMD
NPI 1720690290
Student in an Organized Health Care Education/Training Program in Tujunga, CA

Q: What is Sergey Kustov's NPI number?

The NPI number for Sergey Kustov is 1720690290. It was assigned to this individual provider in the NPPES registry on August 17, 2020.

Q: What is Sergey Kustov's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sergey Kustov was last updated on August 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 17, 2020

10905 DELIBAN ST, TUJUNGA, CA 91042(323) 352-4440 Get Directions Write a Review

NPPES record last updated: August 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sergey Dmitriyevich Kustov Pharmd NPPES

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

SERGEY DMITRIYEVICH KUSTOV PHARMD (NPI 1720690290) is an individual student in an organized health care education/training program in Tujunga, California and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1720690290

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSERGEY DMITRIYEVICH KUSTOVCredential: PHARMD

Location Address10905 DELIBAN STTujunga, CA 91042-1451

Mailing Address10905 Deliban StTujunga, CA 91042-1451 · (323) 352-4440

Phone(323) 352-4440

Sole ProprietorYes

Enumeration DateAugust 17, 2020

NPPES CertifiedAugust 17, 2020

✔ NPI 1720690290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

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.

10905 DELIBAN ST, Tujunga, CA 91042

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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 Sergey Kustov's NPI number?

The NPI number for Sergey Kustov is 1720690290. It was assigned to this individual provider in the NPPES registry on August 17, 2020.

Where is Sergey Kustov located?

Sergey Kustov practices at 10905 Deliban St, Tujunga, CA 91042. The listed phone number is (323) 352-4440.

What is Sergey Kustov'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 Sergey Kustov was last updated on August 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.