Healthcare Provider Details

I. General information

NPI: 1346841525
Provider Name (Legal Business Name): YATTSI COMMUNICATIONS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2020
Last Update Date: 11/09/2020
Certification Date: 11/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 IRON POINT DR APT 196
SAN JOSE CA
95134-3402
US

IV. Provider business mailing address

3401 IRON POINT DR APT 196
SAN JOSE CA
95134-3402
US

V. Phone/Fax

Practice location:
  • Phone: 669-294-5959
  • Fax:
Mailing address:
  • Phone: 669-294-5959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number State

VIII. Authorized Official

Name: RAIZA GIBELLY RAMIREZ
Title or Position: GENERAL MANAGER
Credential:
Phone: 669-294-5959