Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | C166841 | CA |
NPI | 1134330921 |
---|---|
Provider Name | Yesim Yilmaz Demirdag |
First Address | Morgantown, WV 26506-9214 |
Second Address | Irvine, CA 92697-9214 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 27/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
07225 | (05) | LA |