Provider Demographics
NPI:1972306793
Name:USTIMENKO, ARTEM
Entity type:Individual
Prefix:
First Name:ARTEM
Middle Name:
Last Name:USTIMENKO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2331 REGINA CT
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95054-1342
Mailing Address - Country:US
Mailing Address - Phone:408-398-3339
Mailing Address - Fax:
Practice Address - Street 1:2331 REGINA CT
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95054-1342
Practice Address - Country:US
Practice Address - Phone:408-398-3339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist