MEDICARE: MS. YAEL MEHRANNIA

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
1	363A00000X	Physician Assistant	67901	CA

General Provider Information

NPI Number	:	1457215915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. YAEL MEHRANNIA

Provider Business Mailing Address
First Line	:	PO BOX 351664
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-8807
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	99 N LA CIENEGA BLVD STE 107
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-2283
Country	:	US
Telephone Number	:	310-652-5292
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	04/13/2026

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Directions to “ MS. YAEL MEHRANNIA ” Practice Location

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