Healthcare Provider Details

I. General information

NPI: 1215065891
Provider Name (Legal Business Name): LAL KAYE YILMAZ-GONZALEZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAL KAYE YILMAZ M.D.

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 01/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 DE SILVA ISLAND DR
MILL VALLEY CA
94941-3024
US

IV. Provider business mailing address

1425 S MAIN ST
WALNUT CREEK CA
94596-5318
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-1236
  • Fax:
Mailing address:
  • Phone: 925-295-7930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA71198
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: