Individual
DR. EDWIN O YELLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9549 MELVIN AVE, NORTHRIDGE, CA 91324-2134
(818) 772-2163
(818) 772-8131
Mailing address
9549 MELVIN AVE STE 301, NORTHRIDGE, CA 91324-2134
(818) 772-2163
(818) 772-8131
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A40190
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A401900
—
CA
Enumeration date
04/24/2007
Last updated
07/29/2021
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