Healthcare Provider Details

I. General information

NPI: 1982996799
Provider Name (Legal Business Name): YANA STOLYAROV M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2011
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 S HARBOR BLVD
SANTA ANA CA
92704-6919
US

IV. Provider business mailing address

3501 S HARBOR BLVD
SANTA ANA CA
92704-6919
US

V. Phone/Fax

Practice location:
  • Phone: 714-929-2300
  • Fax:
Mailing address:
  • Phone: 702-579-3203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA127563
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberA127563
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: