Organization
JOHN P YERMIAN MD INC
Active
Parent organization
JOHN P YERMIAN MD INC
Other names
PLAZA MEDICAL CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHN P YERMIAN MD INC
Authorized official
JOHN YERMIAN MD (PHYSICIAN)
(818) 780-7900
Entity
Organization
Contact information
Practice address
7020 VAN NUYS BLVD, VAN NUYS, CA 91405-3059
(818) 780-7900
(818) 994-9988
Mailing address
7020 VAN NUYS BLVD, VAN NUYS, CA 91405-3059
(818) 780-7900
(818) 994-9988
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A42042
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10096014100245001
CCN
CA
Enumeration date
06/09/2010
Last updated
04/05/2019
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