Healthcare Provider Details

I. General information

NPI: 1639119118
Provider Name (Legal Business Name): FRANK D YELIAN MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 01/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 BARRANCA PKWY SUITE 300
IRVINE CA
92606-8226
US

IV. Provider business mailing address

3500 BARRANCA PKWY SUITE 300
IRVINE CA
92606-8226
US

V. Phone/Fax

Practice location:
  • Phone: 949-654-5433
  • Fax: 949-954-8547
Mailing address:
  • Phone: 949-654-5433
  • Fax: 949-954-8547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number4301072196
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberA87078
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: