Provider Demographics
NPI:1770766685
Name:YANKE, EVELYN (RD)
Entity type:Individual
Prefix:
First Name:EVELYN
Middle Name:
Last Name:YANKE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 CALLE DE CASTELLANA
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-6727
Mailing Address - Country:US
Mailing Address - Phone:310-200-3451
Mailing Address - Fax:
Practice Address - Street 1:435 CALLE DE CASTELLANA
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-6727
Practice Address - Country:US
Practice Address - Phone:424-262-3690
Practice Address - Fax:310-371-6851
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-13
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered