# PATRICK R YASSINI M D INC

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

## Provider details

- **NPI number:** 1174604953
- **Authorized official:** DR. PATRICK YASSINI M.D. (OWNER)
- **Authorized official phone:** (619) 522-4005

## Contact information

- **Practice address:** 131 ORANGE AVE, \#100, CORONADO, CA 92118-1408
- **Practice address phone:** (619) 522-4005
- **Practice address fax:** (619) 522-4014
- **Mailing address:** 131 ORANGE AVE, \#100, CORONADO, CA 92118-1408
- **Mailing address phone:** (619) 522-4005
- **Mailing address fax:** (619) 522-4014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 08/10/2015