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Organization
YASER A SLAYYEH M D F A C C A MEDICAL CORPORATION
Active
Organization
YASER A SLAYYEH M D F A C C A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASER A SLAYYEH MD (PRESIDENT)
(909) 882-3300
Entity
Organization
Contact information
Practice address
399 E HIGHLAND AVE, SUITE 215, SAN BERNARDINO, CA 92404-3808
(909) 882-3300
(909) 882-3512
Mailing address
399 E HIGHLAND AVE, SUITE 215, SAN BERNARDINO, CA 92404-3808
(909) 882-3300
(909) 882-3512
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A56032
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A560320
—
CA
01
—
A56032
STATE LICENSE
CA
01
—
DB9077
RR MEDICARE GRP ID
CA
Enumeration date
04/18/2007
Last updated
08/13/2019
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