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NPI Code Detail

MEDICARE: DR. MANOOCHEHR YASHARI M.D.

MEDICARE: DR. MANOOCHEHR YASHARI 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
1207V00000XObstetrics & Gynecology PhysicianC39333CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780651844
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MANOOCHEHR YASHARI M.D.
Provider Business Mailing Address
First Line : 1304 15TH ST STE 100
Second Line :
City : SANTA MONICA
State : CA
Zip : 90404-1810
Country : US
Telephone Number : 310-393-4655
Fax Number : 310-394-8352
Provider Business Practice Location Address
First Line : 1304 15TH ST STE 100
Second Line :
City : SANTA MONICA
State : CA
Zip : 90404-1810
Country : US
Telephone Number : 310-393-4655
Fax Number : 310-394-8352
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 04/05/2024

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