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Individual

DR. FREDERICK HARVEY YORRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
18399 VENTURA BLVD, SUITE 245, TARZANA, CA 91356-4233
(818) 609-7536
(818) 344-9670
Mailing address
18399 VENTURA BLVD, SUITE 245, TARZANA, CA 91356-4233
(818) 609-7536
(818) 344-9670

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G16039
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0001370
CA
Enumeration date
07/22/2006
Last updated
07/09/2007
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