Individual
JAY ANDREW YELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20A22786
CA
2086S0102X
Surgical Critical Care Physician
20A22786
CA
2086S0102X
Surgical Critical Care Physician
OS021632P
PA
2086S0127X
Trauma Surgery Physician
20A22786
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02239834
—
NY
Enumeration date
10/06/2005
Last updated
10/01/2024
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