Organization Name: | PATRICK R YASSINI M D INC |
NPI Number: | 1174604953 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICK YASSINI (OWNER) |
Mailing Address: | 131 Orange Ave #100 Coronado |
State: | CA US |
Postal Code: | 921181408 |
Phone Number: | 6195224005 |
Fax Number: | 6195224014 |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 08/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |