Organization
ISLAND MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL YADEGARI MD (CEO)
(310) 409-6559
Entity
Organization
Contact information
Practice address
326 N MACLAY AVE, SAN FERNANDO, CA 91340-2932
(310) 409-6559
(213) 745-0152
Mailing address
601 N CRESCENT DR, BEVERLY HILLS, CA 90210-3329
(310) 409-6559
(213) 745-0152
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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