Provider Demographics
NPI:1003387176
Name:YET, LAARNI OBIS (RRT)
Entity Type:Individual
Prefix:
First Name:LAARNI
Middle Name:OBIS
Last Name:YET
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:LAARNI
Other - Middle Name:GERONIMO
Other - Last Name:OBIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3706 HORNER ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-2631
Mailing Address - Country:US
Mailing Address - Phone:510-862-2514
Mailing Address - Fax:
Practice Address - Street 1:700 LAWRENCE EXPY
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-5173
Practice Address - Country:US
Practice Address - Phone:408-851-7022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27666227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered