Individual
DR. AMIR YAZDANSHENAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
113 WATERWORKS WAY STE 350, IRVINE, CA 92618-3172
(949) 528-3864
Mailing address
113 WATERWORKS WAY STE 350, IRVINE, CA 92618-3172
(949) 528-3864
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
13915
NV
207Q00000X
Family Medicine Physician
Primary
122567
CA
207Q00000X
Family Medicine Physician
13915
NV
Other
Enumeration date
07/27/2009
Last updated
10/27/2021
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