# PAYAM ROBERT YASHAR, M.D., INC

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

## Provider details

- **NPI number:** 1871612630
- **Authorized official:** DR. PAYAM ROBERT YASHAR (PRESIDENT)
- **Authorized official phone:** (310) 556-2020

## Contact information

- **Practice address:** 8635 W 3RD ST STE 265W, LOS ANGELES, CA 90048-6154
- **Practice address phone:** (310) 556-2020
- **Practice address fax:** (310) 556-2025
- **Mailing address:** PO BOX 516, BEVERLY HILLS, CA 90213-0516
- **Mailing address phone:** (310) 556-2020
- **Mailing address fax:** (310) 556-2025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | A66101 | CA | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 04/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A661010 | — | CA |