Organization
NADINE H. YASSA, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NADINE H YASSA M.D. (PRESIDENT)
(916) 789-8811
Entity
Organization
Contact information
Practice address
991 RESERVE DR, SUITE A, ROSEVILLE, CA 95678-1350
(916) 789-8811
(916) 789-8809
Mailing address
991 RESERVE DR, SUITE A, ROSEVILLE, CA 95678-1350
(916) 789-8811
(916) 789-8809
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC6073
RAILROAD MEDICARE GROUP #
CA
Enumeration date
10/12/2007
Last updated
10/15/2007
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