Individual
YALDA GHADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-8960
Mailing address
220 MIRA MAR AVE APT C, LONG BEACH, CA 90803-6163
(909) 472-1864
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95026541
CA
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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