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NPI Code Detail

MEDICARE: DR. YAZEN QUMSIYEH MD

MEDICARE: DR. YAZEN QUMSIYEH 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
12086S0129XVascular Surgery PhysicianA163899CA
22086S0129XVascular Surgery Physician73094MN

General Provider Information

NPI Number : 1518462050
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YAZEN QUMSIYEH MD
Provider Business Mailing Address
First Line : 4901 CENTENNIAL PLAZA WAY
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93312-2011
Country : US
Telephone Number : 661-387-8333
Fax Number :
Provider Business Practice Location Address
First Line : 4901 CENTENNIAL PLAZA WAY
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93312-2011
Country : US
Telephone Number : 661-387-8333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2018
Last Update Date : 09/04/2025

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