Provider Demographics
NPI:1295946929
Name:VOLCANI, YANON (YANON VOLCANI, PHD)
Entity type:Individual
Prefix:DR
First Name:YANON
Middle Name:
Last Name:VOLCANI
Suffix:
Gender:M
Credentials:YANON VOLCANI, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1224 PROSPECT ST STE 110
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-3633
Mailing Address - Country:US
Mailing Address - Phone:858-459-5557
Mailing Address - Fax:858-454-6484
Practice Address - Street 1:1224 PROSPECT ST STE 110
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-3633
Practice Address - Country:US
Practice Address - Phone:858-459-5557
Practice Address - Fax:858-454-6484
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY7324103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical