Provider Demographics
NPI:1326405713
Name:DAVID YAMINI, MD INC
Entity Type:Organization
Organization Name:DAVID YAMINI, MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD, DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID YAMINI
Authorized Official - Middle Name:MD
Authorized Official - Last Name:INC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-285-3005
Mailing Address - Street 1:2001 SANTA MONICA BLVD
Mailing Address - Street 2:#1286-W
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404
Mailing Address - Country:US
Mailing Address - Phone:310-285-3005
Mailing Address - Fax:310-935-1560
Practice Address - Street 1:2001 SANTA MONICA BLVD
Practice Address - Street 2:#1286-W
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404
Practice Address - Country:US
Practice Address - Phone:310-285-3005
Practice Address - Fax:310-935-1560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA106978207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty