Healthcare Provider Details

I. General information

NPI: 1366628471
Provider Name (Legal Business Name): SHERRY YAFAI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2008
Last Update Date: 06/26/2021
Certification Date: 06/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1328 22ND ST
SANTA MONICA CA
90404-2032
US

IV. Provider business mailing address

27589 PACIFIC COAST HWY
MALIBU CA
90265-4339
US

V. Phone/Fax

Practice location:
  • Phone: 310-829-8212
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146D00000X
TaxonomyPersonal Emergency Response Attendant
License NumberA98550
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA98550
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: