# JOHN P YERMIAN MD INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JOHN P YERMIAN MD INC
- **Other names:** PLAZA MEDICAL CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912227257
- **Legal business name:** JOHN P YERMIAN MD INC
- **Authorized official:** JOHN YERMIAN MD (PHYSICIAN)
- **Authorized official phone:** (818) 780-7900

## Contact information

- **Practice address:** 7020 VAN NUYS BLVD, VAN NUYS, CA 91405-3059
- **Practice address phone:** (818) 780-7900
- **Practice address fax:** (818) 994-9988
- **Mailing address:** 7020 VAN NUYS BLVD, VAN NUYS, CA 91405-3059
- **Mailing address phone:** (818) 780-7900
- **Mailing address fax:** (818) 994-9988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | A42042 | CA | Yes |

## Other

- **Enumeration date:** 06/09/2010
- **Last updated:** 04/05/2019