MEDICARE: YOFILI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility

General Provider Information

NPI Number	:	1164741765
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOFILI

Provider Business Mailing Address
First Line	:	1774 CABALLERO ST
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93065-4814
Country	:	US
Telephone Number	:	805-285-5440
Fax Number	:	805-285-5443

Provider Business Practice Location Address
First Line	:	1774 CABALLERO ST
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93065-4814
Country	:	US
Telephone Number	:	805-285-5440
Fax Number	:	805-285-5443

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ROY L MARTIN II
Credential	:
Telephone Number	:	805-285-5440

Provider Enumeration Date	:	05/21/2010
Last Update Date	:	06/22/2014

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Directions to “YOFILI ” Practice Location

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