Individual
ANNIE A YESSAIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18133 VENTURA BLVD STE 402, TARZANA, CA 91356-3645
(818) 342-6011
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-8500
(323) 225-6284
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
A54703
CA
207VX0201X
Gynecologic Oncology Physician
Primary
A54703
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A547030
—
CA
Enumeration date
06/15/2005
Last updated
07/21/2022
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