Individual
SHARONA YASHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10833 LE CONTE AVE RM A7215CHS, LOS ANGELES, CA 90095
(310) 206-6594
(310) 267-2685
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A95389
CA
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
A95389
CA
207ZP0101X
Anatomic Pathology Physician
A95389
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A953890
—
CA
Enumeration date
03/27/2007
Last updated
11/22/2019
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