# JOHN YASHOU DO INC.

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

## Provider details

- **NPI number:** 1114702479
- **Authorized official:** DR. JOHN YASHOU DO (PRESIDENT)
- **Authorized official phone:** (305) 725-7624

## Contact information

- **Practice address:** 18182 US HIGHWAY 18 STE 107, APPLE VALLEY, CA 92307-2200
- **Practice address phone:** (760) 515-4003
- **Practice address fax:** (760) 515-4503
- **Mailing address:** 20258 US HIGHWAY 18 STE 430-401, APPLE VALLEY, CA 92307-6197
- **Mailing address phone:** (305) 725-7624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202D00000X | Integrative Medicine Physician | — | NULL | — |
| 202D00000X | Integrative Medicine Physician | — | — | — |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/25/2023
- **Last updated:** 08/25/2023