Provider Demographics
NPI:1942573753
Name:YASSIM, IRAMAIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:IRAMAIA
Middle Name:
Last Name:YASSIM
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-2202
Mailing Address - Country:US
Mailing Address - Phone:213-209-7766
Mailing Address - Fax:
Practice Address - Street 1:1514 W 7TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-2202
Practice Address - Country:US
Practice Address - Phone:213-219-7766
Practice Address - Fax:213-403-6074
Is Sole Proprietor?:No
Enumeration Date:2012-02-10
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61093122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist