Provider Demographics
NPI:1407920176
Name:YOSHPE & WILLNER MDS A CA GENERAL PARTNERSHIP
Entity Type:Organization
Organization Name:YOSHPE & WILLNER MDS A CA GENERAL PARTNERSHIP
Other - Org Name:YOSHPE & WILLNER MDS A CA GENERAL PARTNERSHIP
Other - Org Type:Other Name
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:AYAL
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-427-0550
Mailing Address - Street 1:433 E WARDLOW RD
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-4507
Mailing Address - Country:US
Mailing Address - Phone:562-427-0550
Mailing Address - Fax:562-988-8899
Practice Address - Street 1:433 E WARDLOW RD
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-4507
Practice Address - Country:US
Practice Address - Phone:562-427-0550
Practice Address - Fax:562-988-8899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
E02655Medicare UPIN