Healthcare Provider Details

I. General information

NPI: 1023045309
Provider Name (Legal Business Name): YON YARN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43839 15TH ST W
LANCASTER CA
93534-4756
US

IV. Provider business mailing address

10311 SIRRETTA PEAK PL
BAKERSFIELD CA
93311-8923
US

V. Phone/Fax

Practice location:
  • Phone: 661-951-3009
  • Fax:
Mailing address:
  • Phone: 661-808-4353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number20A9285
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number20A9285
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number20A9285
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: