Provider Demographics
NPI:1750306510
Name:ESTROV, YUVAL (MD)
Entity Type:Individual
Prefix:
First Name:YUVAL
Middle Name:
Last Name:ESTROV
Suffix:
Gender:M
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:PO BOX 1770
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91944-1770
Mailing Address - Country:US
Mailing Address - Phone:858-240-7449
Mailing Address - Fax:858-240-7566
Practice Address - Street 1:9330 CARMEL MOUNTAIN RD STE E
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92129-2160
Practice Address - Country:US
Practice Address - Phone:858-240-7449
Practice Address - Fax:858-240-7566
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA752352084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry