Healthcare Provider Details

I. General information

NPI: 1649926007
Provider Name (Legal Business Name): HERLINDA YANEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2022
Last Update Date: 01/29/2024
Certification Date: 01/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34, 36, 40 E. MINARETS
PINEDALE CA
93650-1239
US

IV. Provider business mailing address

34, 36, 40 E. MINARETS
PINEDALE CA
93650-1239
US

V. Phone/Fax

Practice location:
  • Phone: 559-436-0482
  • Fax:
Mailing address:
  • Phone: 559-436-0482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: