Provider Demographics
NPI:1508440967
Name:YOMI, TIMIIYE DAWN (MBBS, MD)
Entity Type:Individual
Prefix:DR
First Name:TIMIIYE
Middle Name:DAWN
Last Name:YOMI
Suffix:
Gender:F
Credentials:MBBS, MD
Other - Prefix:DR
Other - First Name:TIMIIYE
Other - Middle Name:DAWN
Other - Last Name:SUNWENGHAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MBBS, MD
Mailing Address - Street 1:EAST NILES COMMUNITY HEALTH CENTER
Mailing Address - Street 2:7800 NILES ST
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306
Mailing Address - Country:US
Mailing Address - Phone:661-328-4284
Mailing Address - Fax:661-616-9977
Practice Address - Street 1:EAST NILES COMMUNITY HEALTH CENTER
Practice Address - Street 2:7800 NILES ST
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306
Practice Address - Country:US
Practice Address - Phone:661-328-4284
Practice Address - Fax:661-616-9977
Is Sole Proprietor?:No
Enumeration Date:2021-05-11
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPTL5685390200000X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program