Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | G68247 | CA |
N | 207VX0000X | Obstetrician | 2004030809 | MO |
NPI | 1417965385 |
---|---|
Provider Name | Eve F Yalom |
First Address | Oakland, CA 94609 |
Second Address | Oakland, CA 94609 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 25/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B41521 | (02) |