Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | A66101 | CA |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | A66101 | CA |
N | 207RI0011X | Interventional Cardiology | A66101 | CA |
NPI | 1144279514 |
---|---|
Provider Name | Payam Robert Yashar |
First Address | Beverly Hills, CA 90213 |
Second Address | Los Angeles, CA 90048-6101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 06/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A661010 | (05) | CA |
V20527 | (02) |