Provider Demographics
NPI:1144470238
Name:GOYKHMAN, YANINA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:YANINA
Middle Name:
Last Name:GOYKHMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:YANA
Other - Middle Name:
Other - Last Name:GOYKHMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:920 N STANLEY AVE APT 107
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90046-6352
Mailing Address - Country:US
Mailing Address - Phone:323-362-7568
Mailing Address - Fax:
Practice Address - Street 1:13652 CANTARA ST
Practice Address - Street 2:INPATIENT PHARMACY
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-5423
Practice Address - Country:US
Practice Address - Phone:818-375-2443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59909183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist