Provider Demographics
NPI:1700521168
Name:SILVA JIMENEZ, YOANA
Entity Type:Individual
Prefix:
First Name:YOANA
Middle Name:
Last Name:SILVA JIMENEZ
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 1:31872 JOSHUA DR APT 29A
Mailing Address - Street 2:
Mailing Address - City:TRABUCO CANYON
Mailing Address - State:CA
Mailing Address - Zip Code:92679-3113
Mailing Address - Country:US
Mailing Address - Phone:949-354-7966
Mailing Address - Fax:
Practice Address - Street 1:809 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-6605
Practice Address - Country:US
Practice Address - Phone:800-755-9771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-30
Last Update Date:2022-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant