Individual provider · Type 1 NPI

Roman Alekseyevich Kondratyuk, RN

Critical Care Medicine Registered Nurse · Los Angeles, CA

NPI number 1497695738 Active

Practice location

4867 W Sunset Blvd
Los Angeles, CA 90027-5969

Call (323) 804-7252 Map

Mailing address

1724 N Highland Ave Apt 525
Los Angeles, CA 90028-4422

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse Primary 163WC0200X95139059 (CA)

Critical Care Medicine Registered Nurse: Definition to come...

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About NPI 1497695738

Roman Alekseyevich Kondratyuk, RN's National Provider Identifier is 1497695738, issued on Mar 30, 2026. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 30, 2026.