Provider Demographics
NPI:1114702479
Name:JOHN YASHOU DO INC.
Entity Type:Organization
Organization Name:JOHN YASHOU DO INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:YASHOU
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:305-725-7624
Mailing Address - Street 1:20258 US HIGHWAY 18 STE 430-401
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-6197
Mailing Address - Country:US
Mailing Address - Phone:305-725-7624
Mailing Address - Fax:
Practice Address - Street 1:18182 US HIGHWAY 18 STE 107
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2200
Practice Address - Country:US
Practice Address - Phone:760-515-4003
Practice Address - Fax:760-515-4503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No202D00000XAllopathic & Osteopathic PhysiciansIntegrative MedicineGroup - Multi-Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty