Individual
DR. BANAFSHEH YAFEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 E 28TH ST, SUITE 319, LONG BEACH, CA 90806-2759
(562) 426-3656
(562) 424-9990
Mailing address
701 E 28TH ST, SUITE 319, LONG BEACH, CA 90806-2759
(562) 426-3656
(562) 424-9990
Taxonomy
Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
036122614
IL
2084V0102X
Vascular Neurology Physician
Primary
A90526
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W6126
MEDICARE GROUP PTAN
CA
Enumeration date
09/11/2007
Last updated
08/01/2012
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