Healthcare Provider Details

I. General information

NPI: 1639032212
Provider Name (Legal Business Name): HIND SALIH YASSIN CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 BLAISDELL WAY
FREMONT CA
94536-1658
US

IV. Provider business mailing address

27 BLAISDELL WAY
FREMONT CA
94536-1658
US

V. Phone/Fax

Practice location:
  • Phone: 408-482-4615
  • Fax:
Mailing address:
  • Phone: 408-482-4615
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HIND SALIH YASSIN
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 408-482-4615