| Nina Yaftali | |
|
444 Bruce St Yreka CA 96097-3450 | |
| (702) 453-3799 | |
| (702) 453-5741 |
| Full Name | Nina Yaftali |
|---|---|
| Speciality | Internal Medicine |
| Location | 444 Bruce St, Yreka, California |
| Authorized Official Name and Position | Nina Yaftali (SOLE OWNER) |
| Authorized Official Contact | 8186673520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nina Yaftali 1014 S Westlake Blvd # 14-107 Westlake Village CA 91361-3108 Ph: (702) 453-3799 | Nina Yaftali 444 Bruce St Yreka CA 96097-3450 Ph: (702) 453-3799 |
| NPI Number | 1710530696 |
|---|---|
| Provider Enumeration Date | 07/19/2019 |
| Last Update Date | 03/23/2023 |
| Medicare PECOS PAC ID | 7517294366 |
|---|---|
| Medicare Enrollment ID | O20190816000653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710530696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nina A Yaftali |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1881077592 PECOS PAC ID: 6204146855 Enrollment ID: I20151110002864 |
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