Healthcare Provider Details

I. General information

NPI: 1710515960
Provider Name (Legal Business Name): PAULINE YASMEH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2020
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 N CAMDEN DR STE 610
BEVERLY HILLS CA
90210-4416
US

IV. Provider business mailing address

120 N SWALL DR APT 303
LOS ANGELES CA
90048-3000
US

V. Phone/Fax

Practice location:
  • Phone: 310-598-5371
  • Fax:
Mailing address:
  • Phone: 310-598-5371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberA186263
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: