# MANOOCHEHR YASHARI, M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083899959
- **Authorized official:** STACY ISARA (BILLING MANAGER)
- **Authorized official phone:** (310) 260-9807

## Contact information

- **Practice address:** 1260 15TH ST, SUITE 616, SANTA MONICA, CA 90404-1135
- **Practice address phone:** (310) 393-4655
- **Practice address fax:** (310) 394-8352
- **Mailing address:** 1260 15TH ST, SUITE 616, SANTA MONICA, CA 90404-1135
- **Mailing address phone:** (310) 393-4655
- **Mailing address fax:** (310) 394-8352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | C39333 | CA | Yes |

## Other

- **Enumeration date:** 01/09/2008
- **Last updated:** 01/09/2008