Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | A165699 | CA |
NPI | 1023542370 |
---|---|
Provider Name | Dr. Adeleh Yarmohammadi |
First Address | San Diego, CA 92193-2410 |
Second Address | La Jolla, CA 92093-1350 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2017 |
Last Update Date | 04/08/2021 |