Provider Demographics
NPI:1164548301
Name:YAMEK, PAMELA N (NP)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:N
Last Name:YAMEK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23101 SHERMAN PLACE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307
Mailing Address - Country:US
Mailing Address - Phone:805-653-0101
Mailing Address - Fax:805-641-0434
Practice Address - Street 1:23101 SHERMAN PLACE
Practice Address - Street 2:SUITE 101
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307
Practice Address - Country:US
Practice Address - Phone:805-653-0101
Practice Address - Fax:805-641-0434
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CANP11735363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner