Healthcare Provider Details

I. General information

NPI: 1114218211
Provider Name (Legal Business Name): DAVID F YEBRI RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2011
Last Update Date: 04/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 E VENTURA BLVD
OXNARD CA
93036-1813
US

IV. Provider business mailing address

2001 E. VENTURA BLV.
OXNARD CA
93036
US

V. Phone/Fax

Practice location:
  • Phone: 805-983-6344
  • Fax: 805-983-2090
Mailing address:
  • Phone: 805-983-6344
  • Fax: 805-983-2090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number40769
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: