Provider Demographics
NPI:1669692935
Name:YORBA LINDA FAMILY PHYSICIANS
Entity type:Organization
Organization Name:YORBA LINDA FAMILY PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR PRACTICE ANALIST
Authorized Official - Prefix:
Authorized Official - First Name:AZAD
Authorized Official - Middle Name:
Authorized Official - Last Name:TORIKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-986-3307
Mailing Address - Street 1:18300 YORBA LINDA BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-4052
Mailing Address - Country:US
Mailing Address - Phone:714-577-6031
Mailing Address - Fax:714-572-9538
Practice Address - Street 1:18200 YORBA LINDA BLVD STE 401
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-4061
Practice Address - Country:US
Practice Address - Phone:714-986-3300
Practice Address - Fax:714-572-2562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18138363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty