Healthcare Provider Details

I. General information

NPI: 1972703569
Provider Name (Legal Business Name): COREY SCOTT YILMAZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2007
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2719 N AIR FRESNO DR
FRESNO CA
93727-1547
US

IV. Provider business mailing address

520 E AMES PL
PHOENIX AZ
85004-1802
US

V. Phone/Fax

Practice location:
  • Phone: 559-600-4645
  • Fax:
Mailing address:
  • Phone: 162-323-8229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number177941
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: