Healthcare Provider Details

I. General information

NPI: 1295697340
Provider Name (Legal Business Name): FRANKLIN YEARBY-SAUNDERS PRSS, BHT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: FRANKLIN YEARBY JR.

II. Dates (important events)

Enumeration Date: 11/26/2025
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22314 RUNNYMEDE ST
CANOGA PARK CA
91303-1022
US

IV. Provider business mailing address

22314 RUNNYMEDE ST
CANOGA PARK CA
91303-1022
US

V. Phone/Fax

Practice location:
  • Phone: 480-903-5312
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: