Provider Demographics
NPI:1891750345
Name:HIRNIAK, OKSANA B (DO)
Entity type:Individual
Prefix:
First Name:OKSANA
Middle Name:B
Last Name:HIRNIAK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:225 E 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-4249
Mailing Address - Country:US
Mailing Address - Phone:760-291-6700
Mailing Address - Fax:760-471-0513
Practice Address - Street 1:277 RANCHEROS DR STE 100
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92069-2959
Practice Address - Country:US
Practice Address - Phone:760-291-6700
Practice Address - Fax:760-471-0513
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2024-12-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A11789207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAER453YOtherMEDICARE PTAN