# ANISA M YALOM MD INC

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

## Provider details

- **NPI number:** 1730844614
- **Authorized official:** ANISA M YALOM (PHYSICIAN)
- **Authorized official phone:** (917) 992-1614

## Contact information

- **Practice address:** 277 RANCHEROS DR STE 101, SAN MARCOS, CA 92069-2976
- **Practice address phone:** (760) 750-1902
- **Mailing address:** 277 RANCHEROS DR STE 101, SAN MARCOS, CA 92069-2976
- **Mailing address phone:** (760) 750-1902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | — | NULL | Yes |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2021
- **Last updated:** 12/01/2022