Individual
EDWARD R YELOCHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3801 MIRANDA AVE, MC 112, PALO ALTO, CA 94304-1207
(650) 849-0287
Mailing address
690 PERSIAN DR, SPC 62, SUNNYVALE, CA 94089-1777
(408) 542-9238
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0000407
MD
363AS0400X
Surgical Physician Assistant
Primary
PA20910
CA
Other
Enumeration date
04/20/2006
Last updated
10/14/2010
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