Provider Demographics
NPI:1003378415
Name:AFSHAR, YAMA AHMAD (DO, MPH)
Entity Type:Individual
Prefix:
First Name:YAMA
Middle Name:AHMAD
Last Name:AFSHAR
Suffix:
Gender:M
Credentials:DO, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24321 AVENIDA DE LA CARLOTA
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-3681
Mailing Address - Country:US
Mailing Address - Phone:949-204-3006
Mailing Address - Fax:
Practice Address - Street 1:24321 AVENIDA DE LA CARLOTA
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-3681
Practice Address - Country:US
Practice Address - Phone:949-204-3006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-03
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A19926207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine