Individual
YANA JANE TAVYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048
(310) 423-4441
(310) 423-1244
Mailing address
PO BOX 512717, LOS ANGELES, CA 90051-0717
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A109479
CA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
A109479
CA
Other
Enumeration date
10/06/2009
Last updated
05/17/2018
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