Provider Demographics
NPI:1134547722
Name:SEIRAFI, YASAMAN
Entity type:Individual
Prefix:
First Name:YASAMAN
Middle Name:
Last Name:SEIRAFI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 BRANNAN ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-4030
Mailing Address - Country:US
Mailing Address - Phone:415-349-3622
Mailing Address - Fax:818-708-3992
Practice Address - Street 1:219 BRANNAN ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-4030
Practice Address - Country:US
Practice Address - Phone:415-349-3622
Practice Address - Fax:818-708-3992
Is Sole Proprietor?:No
Enumeration Date:2014-04-01
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC32417111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor