Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 20A8500 | CA |
Y | 207XX0801X | Orthopaedic Trauma Surgeon | 20A8500 | CA |
NPI | 1528036837 |
---|---|
Provider Name | Dr. Brian Todd Yost |
First Address | Riverside, CA 92501-4020 |
Second Address | Riverside, CA 92501-4020 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2006 |
Last Update Date | 29/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I28582 | (02) | CA |