Provider Demographics
NPI:1639492895
Name:EMBDEN, YASMIN CECILE (CRNA)
Entity Type:Individual
Prefix:MS
First Name:YASMIN
Middle Name:CECILE
Last Name:EMBDEN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2766 W LOMA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:RIALTO
Mailing Address - State:CA
Mailing Address - Zip Code:92377-3446
Mailing Address - Country:US
Mailing Address - Phone:909-350-2829
Mailing Address - Fax:909-350-2006
Practice Address - Street 1:2701 W ALAMEDA AVE
Practice Address - Street 2:SUITE 602
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4402
Practice Address - Country:US
Practice Address - Phone:818-840-8335
Practice Address - Fax:818-843-7384
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-02
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA239252364SM0705X
CA385367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical