Provider Demographics
NPI:1285702951
Name:BOCHKUR, BIANA (PSYD)
Entity type:Individual
Prefix:DR
First Name:BIANA
Middle Name:
Last Name:BOCHKUR
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13701 RIVERSIDE DR STE 700
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-2449
Mailing Address - Country:US
Mailing Address - Phone:818-788-7580
Mailing Address - Fax:818-788-7540
Practice Address - Street 1:11336 DONA LISA DR
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-4315
Practice Address - Country:US
Practice Address - Phone:323-356-9993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY19067103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist