Individual
DR. SHARAM SAMSON YASHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1850 REDONDO AVE, SUITE 108, SIGNAL HILL, CA 90755-1251
(562) 498-2131
(562) 498-2535
Mailing address
1850 REDONDO AVE, SUITE 108, SIGNAL HILL, CA 90755-1251
(562) 498-2131
(562) 498-2535
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A86029
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A860290
MEDICAL PPIN #
CA
Enumeration date
07/10/2006
Last updated
01/27/2011
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