Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Yulia Kustova, PA

Individual provider Physician Assistant · NPI 1003121203

Mrs. Yulia Kustova, PA is a Physician Assistant in Los Angeles, California. Qualified in 2009, 17 years ago. Practices with Florence Western Medical Clinic Inc, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Licensed in
CA
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2121 S San Pedro St Ste E
Los Angeles, CA 90011-1161
Phone: (213) 742-0300
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20440 Sherman Way, Canoga Park, CA 91306-3110 — (818) 346-2395

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA20749 (CA)

Record details

NPI number1003121203
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 11, 2010
Last updated in NPPESJune 15, 2023
Certification dateJune 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Florence Western Medical Clinic Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Los Angeles