# REX A. YANNIS, MD, A PROF. CORP.

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

## Provider details

- **NPI number:** 1588808307
- **Authorized official:** DR. REX ANTHONY YANNIS M.D. (CEO)
- **Authorized official phone:** (805) 481-5511

## Contact information

- **Practice address:** 146 TRAFFIC WAY, ARROYO GRANDE, CA 93420-3376
- **Practice address phone:** (805) 481-5511
- **Practice address fax:** (805) 481-9631
- **Mailing address:** 146 TRAFFIC WAY, ARROYO GRANDE, CA 93420-3376
- **Mailing address phone:** (805) 481-5511
- **Mailing address fax:** (805) 481-9631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | C42705 | CA | Yes |

## Other

- **Enumeration date:** 04/23/2009
- **Last updated:** 04/23/2009