Healthcare Provider Details

I. General information

NPI: 1508440967
Provider Name (Legal Business Name): TIMIIYE DAWN YOMI MBBS, MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TIMIIYE DAWN SUNWENGHAN MBBS, MD

II. Dates (important events)

Enumeration Date: 05/11/2021
Last Update Date: 10/21/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EAST NILES COMMUNITY HEALTH CENTER 7800 NILES ST
BAKERSFIELD CA
93306
US

IV. Provider business mailing address

1351 W CENTRAL PARK AVE STE 4100
DAVENPORT IA
52804-1847
US

V. Phone/Fax

Practice location:
  • Phone: 661-328-4284
  • Fax: 661-616-9977
Mailing address:
  • Phone: 563-421-2641
  • Fax: 563-441-0544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD-53414
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD-53414
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: