Healthcare Provider Details

I. General information

NPI: 1205723137
Provider Name (Legal Business Name): YASIR ALI ALSHEHRI MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2025
Last Update Date: 06/23/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 16TH ST.
SANTA MONICA CA
90404
US

IV. Provider business mailing address

901-2550 SPRUCE ST
VANCOUVER BRITISH COLUMBIA
V6H OA8
CA

V. Phone/Fax

Practice location:
  • Phone: 310-825-9111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: