Provider Demographics
NPI:1780849034
Name:YAMINI, DAVID PAYAM (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:PAYAM
Last Name:YAMINI
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 1:2001 SANTA MONICA BLVD STE 1286W
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2230
Mailing Address - Country:US
Mailing Address - Phone:310-285-3005
Mailing Address - Fax:
Practice Address - Street 1:2001 SANTA MONICA BLVD STE 1286W
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2230
Practice Address - Country:US
Practice Address - Phone:310-285-3005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-25
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANA207R00000X
CAA106978207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine