Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | A109991 | CA |
NPI | 1164679908 |
---|---|
Provider Name | Dr. Anisa M Yalom |
First Address | San Diego, CA 92126-4432 |
Second Address | San Diego, CA 92126-4432 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2008 |
Last Update Date | 19/06/2019 |