Organization
YK PROFESSIONAL MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD TILMAN MCNAMARA MD (CEO)
(310) 480-4770
Entity
Organization
Contact information
Practice address
5450 BEACH BLVD STE 100, BUENA PARK, CA 90621-1277
(714) 752-6273
(714) 716-1948
Mailing address
5450 BEACH BLVD STE 100, BUENA PARK, CA 90621-1277
(714) 752-6273
(714) 716-1948
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95008390
CALIFORNIA BOARD OF REGISTERED NURSING
CA
01
—
95021251
CALIFORNIA BOARD OF REGISTERED NURSING
CA
Enumeration date
10/03/2024
Last updated
10/03/2024
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