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NPI Code Detail

MEDICARE: DR. YASHA RASTGAR MD

MEDICARE: DR. YASHA RASTGAR MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianA168243CA

General Provider Information

NPI Number : 1003270745
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YASHA RASTGAR MD
Provider Business Mailing Address
First Line : 4546 EL CAMINO REAL STE B7
Second Line :
City : LOS ALTOS
State : CA
Zip : 94022-1069
Country : US
Telephone Number : 866-362-4246
Fax Number : 650-260-6030
Provider Business Practice Location Address
First Line : 21515 HAWTHORNE BLVD STE 200
Second Line :
City : TORRANCE
State : CA
Zip : 90503-6512
Country : US
Telephone Number : 866-362-4246
Fax Number : 651-666-1450
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2016
Last Update Date : 06/14/2024

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