| Nadine H. Yassa, M.d., Inc. | |
|
991 Reserve Dr Suite A Roseville CA 95678-1350 | |
| (916) 789-8811 | |
| (916) 789-8809 |
| Full Name | Nadine H. Yassa, M.d., Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 991 Reserve Dr, Roseville, California |
| Authorized Official Name and Position | Nadine H Yassa (PRESIDENT) |
| Authorized Official Contact | 9167898811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nadine H. Yassa, M.d., Inc. 991 Reserve Dr Suite A Roseville CA 95678-1350 Ph: (916) 789-8811 | Nadine H. Yassa, M.d., Inc. 991 Reserve Dr Suite A Roseville CA 95678-1350 Ph: (916) 789-8811 |
| NPI Number | 1265620405 |
|---|---|
| Provider Enumeration Date | 10/12/2007 |
| Last Update Date | 10/15/2007 |
| Medicare PECOS PAC ID | 5294723953 |
|---|---|
| Medicare Enrollment ID | O20040503001143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265620405 | NPI | - | NPPES |
| DC6073 | Other | CA | RAILROAD MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
| Provider Name | Nadine H Yassa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689656647 PECOS PAC ID: 3173511839 Enrollment ID: I20040524000706 |
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