Provider Demographics
NPI:1942261045
Name:YATAR, PETER SOLER JR (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:SOLER
Last Name:YATAR
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:23341 GOLDEN SPRINGS DR STE 202
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-2054
Mailing Address - Country:US
Mailing Address - Phone:909-839-0808
Mailing Address - Fax:909-839-1974
Practice Address - Street 1:23341 GOLDEN SPRINGS DR STE 202
Practice Address - Street 2:
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91765-2054
Practice Address - Country:US
Practice Address - Phone:909-839-0808
Practice Address - Fax:909-839-1974
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2020-03-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA023964207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A86733Medicare UPIN
W8278Medicare ID - Type Unspecified