Individual
MICHELE YACSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1551 OCEAN AVE, STE. #200, SANTA MONICA, CA 90401-2108
(310) 434-0044
(818) 715-1722
Mailing address
PO BOX 7001, TARZANA, CA 91357-7001
(818) 888-7815
(818) 715-1722
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
14612
CA
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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