Provider Demographics
NPI:1841682598
Name:YARDIMOGLU, YASIN NURI
Entity type:Individual
Prefix:MR
First Name:YASIN
Middle Name:NURI
Last Name:YARDIMOGLU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17460 DIXIE ST
Mailing Address - Street 2:APT. 17
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-4626
Mailing Address - Country:US
Mailing Address - Phone:714-914-5385
Mailing Address - Fax:
Practice Address - Street 1:17460 DIXIE ST
Practice Address - Street 2:APT. 17
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-4626
Practice Address - Country:US
Practice Address - Phone:714-914-5385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-03
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer