Individual
DR. AMBESHIE YESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1520 SAN PABLO ST, SUITE 1000, LOS ANGELES, CA 90033-5310
(626) 457-5839
(626) 457-4079
Mailing address
PO BOX 31218, LOS ANGELES, CA 90031-0218
(626) 457-5839
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A89753
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
A89753
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A897530
—
CA
01
—
A89753
STATE LICENSE NUMBER
CA
Enumeration date
05/20/2006
Last updated
11/29/2021
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