Individual
KELLY YEPREMIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15715 S ATLANTIC AVE FL 2, EAST RANCHO DOMINGUEZ, CA 90221-4242
(310) 604-5000
Mailing address
15715 S ATLANTIC AVE FL 2, EAST RANCHO DOMINGUEZ, CA 90221-4242
(310) 604-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A81317
CA
208M00000X
Hospitalist Physician
Primary
19946
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A813170
—
CA
01
—
200904068
BLUE SHIELD
CA
Enumeration date
03/13/2007
Last updated
12/20/2023
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