Individual
DR. MICHAEL YADEGARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
6265 SEPULVEDA BLVD, STE 9 & 10, VAN NUYS, CA 91411-1114
(818) 779-0555
Mailing address
3130 S HILL ST, LOS ANGELES, CA 90007-3817
(310) 409-6559
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A100335
CA
207RG0100X
Gastroenterology Physician
Primary
A100335
CA
208D00000X
General Practice Physician
A100335
CA
Other
Enumeration date
01/08/2008
Last updated
08/07/2023
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