MEDICARE: MARK S YAFAI DDS MD INC

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	50117	CA
2	204E00000X	Oral & Maxillofacial Surgery (D.M.D.)	A104572	CA

General Provider Information

NPI Number	:	1598056624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARK S YAFAI DDS MD INC

Provider Business Mailing Address
First Line	:	12301 WILSHIRE BLVD STE 301
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-1022
Country	:	US
Telephone Number	:	310-826-8222
Fax Number	:	310-826-4111

Provider Business Practice Location Address
First Line	:	12301 WILSHIRE BLVD STE 301
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-1022
Country	:	US
Telephone Number	:	310-826-8222
Fax Number	:	310-826-4111

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MARK SHAHRAM YAFAI
Credential	:	DDS., MD
Telephone Number	:	310-892-1969

Provider Enumeration Date	:	04/23/2011
Last Update Date	:	06/20/2016

Similar Medicare Providers

1508147034 — SILVIA LIU PSY.D.
Practice Location Address:

12301 WILSHIRE BLVD STE 615
LOS ANGELES, CA
90025-1022

Practice Phone: 310-312-1015
Practice Fax:

1750913554 — DR. LINDSEY D MCEVOY AUD
Practice Location Address:

12301 WILSHIRE BLVD STE 617
LOS ANGELES, CA
90025-1022

Practice Phone: 310-449-1877
Practice Fax:

1508713462 — LANI ADVOKAT MS
Practice Location Address:

1622 MALTMAN AVE
LOS ANGELES, CA
90026-1022

Practice Phone: 860-930-2417
Practice Fax:

1356532014 — DR. JAMES YONG JU KIM D.M.D.
Practice Location Address:

1022 S OXFORD AVE
LOS ANGELES, CA
90006-2309

Practice Phone: 951-768-7319
Practice Fax:

1972747046 — COMPCARE HOSPICE, INC.
Practice Location Address:

3550 WILSHIRE BLVD , SUITE 1022
LOS ANGELES, CA
90010

Practice Phone: 323-782-0441
Practice Fax: 323-782-1810

1982934071 — MISS ROZA KALANTARI
Practice Location Address:

100 S DOHENY DR APT 1022
LOS ANGELES, CA
90048-2997

Practice Phone: 310-592-9796
Practice Fax:

Directions to “MARK S YAFAI DDS MD INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.