Provider Demographics
NPI:1659477958
Name:YADIN, ORA (MD)
Entity Type:Individual
Prefix:DR
First Name:ORA
Middle Name:
Last Name:YADIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10833 LE CONTE AVENUE
Mailing Address - Street 2:A2-383 MDCC
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095
Mailing Address - Country:US
Mailing Address - Phone:310-206-6987
Mailing Address - Fax:310-825-0442
Practice Address - Street 1:10833 LE CONTE AVENUE
Practice Address - Street 2:A2-383 MDCC
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095
Practice Address - Country:US
Practice Address - Phone:310-206-6987
Practice Address - Fax:310-825-0442
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA518492080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0053510Medicaid
CA00A518490Medicaid
CAW11810Medicare ID - Type UnspecifiedGROUP
CAF55839Medicare UPIN
CAGR0053510Medicaid