Healthcare Provider Details

I. General information

NPI: 1265610463
Provider Name (Legal Business Name): YASMIN PIRANI M.D. FRCP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/11/2008
Last Update Date: 10/16/2023
Certification Date: 10/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

819 S HOLT AVE APT 101
LOS ANGELES CA
90035-2092
US

IV. Provider business mailing address

819 S HOLT AVE APT 101
LOS ANGELES CA
90035-2092
US

V. Phone/Fax

Practice location:
  • Phone: 604-370-5924
  • Fax: 909-558-0202
Mailing address:
  • Phone: 604-370-5924
  • Fax: 909-558-0202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA102053
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberA102053
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: