Healthcare Provider Details
I. General information
NPI: 1720931009
Provider Name (Legal Business Name): HAIK YANASHYAN MD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/17/2026
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9950 ALABAMA ST STE 15
REDLANDS CA
92374-2036
US
IV. Provider business mailing address
9950 ALABAMA ST STE 15
REDLANDS CA
92374-2036
US
V. Phone/Fax
- Phone: 949-979-6956
- Fax:
- Phone: 213-259-3559
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HAIK
YANASHYAN
Title or Position: OWNER
Credential: MD
Phone: 213-259-3559