Provider Demographics
NPI:1114803269
Name:CHORNODUB, HALYNA
Entity type:Individual
Prefix:
First Name:HALYNA
Middle Name:
Last Name:CHORNODUB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7434 AUBURN OAKS CT APT 91
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95621-8420
Mailing Address - Country:US
Mailing Address - Phone:916-516-3621
Mailing Address - Fax:
Practice Address - Street 1:7434 AUBURN OAKS CT APT 91
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95621-8420
Practice Address - Country:US
Practice Address - Phone:916-516-3621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker