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NPI Code Detail

MEDICARE: FERAS YAMIN M.D.

MEDICARE: FERAS YAMIN M.D.
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
12086S0122XPlastic and Reconstructive Surgery PhysicianA132061CA

General Provider Information

NPI Number : 1609133586
Entity Type Code : Individual
Provider Name (Legal Business Name) : FERAS YAMIN M.D.
Provider Business Mailing Address
First Line : 9701 WILSHIRE BLVD
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90212-2020
Country : US
Telephone Number : 310-598-2648
Fax Number :
Provider Business Practice Location Address
First Line : 8929 WILSHIRE BLVD STE 102
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90211-1950
Country : US
Telephone Number : 424-235-5157
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2012
Last Update Date : 07/12/2025

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