Organization
EDWIN O. YELLIN MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN O. YELLIN MD (PRESIDENT)
(818) 772-2163
Entity
Organization
Contact information
Practice address
9549 MELVIN AVE, NORTHRIDGE, CA 91324-2134
(818) 772-2163
(818) 772-8131
Mailing address
PO BOX 280220, NORTHRIDGE, CA 91328-0220
(818) 772-2163
(818) 772-8131
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A40190
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A401900
—
CA
01
—
1467670307
NPI
CA
Enumeration date
02/19/2010
Last updated
07/29/2021
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