Provider Type Icon

EDWIN O. YELLIN MD INC NPI 1235451121


NPI Profile

NPI: 1235451121
Provider Name: EDWIN O. YELLIN MD, INC
Classification:Specialist - 174400000X
Entity Type: Organization
Address:
9549 MELVIN AVE
NORTHRIDGE, CA
ZIP 91324
Get Directions

Phone: (818) 772-2163

EDWIN O. YELLIN MD, INC is a specialist in Northridge, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. EDWIN O. YELLIN MD, INC NPI is 1235451121. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9549 MELVIN AVE
NORTHRIDGE, CA
ZIP 91324-134
Phone: (818) 772-2163
Fax: (818) 772-8131

The provider's authorized official is Edwin O. Yellin .
The authorized official title is President and has the following contact phone number (818) 772-2163.

The enumeration date for this NPI number is 2/19/2010 and was last updated on 7/29/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA40190CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A401900MEDICAIDCALIFORNIA
21467670307OTHERCALIFORNIANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 9/12/2021

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.