Efendy, Yoggie

Efendy, Yoggie is an individual health care provider with primary practice located at 1430 E Cooley Dr Ste 122 , Colton CA 92324-3944. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Efendy, Yoggie can be contacted via phone (909) 572-6226.

Contact Information

Primary practice address
1430 E Cooley Dr Ste 122 Colton CA 92324-3944
Phone: (909) 572-6226
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95001545 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95001545 California

Profile Details

NPI number 1366831653
LBN Legal business name Efendy, Yoggie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2015
Last updated Mar 28th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366831653 NPPES
California MEDICAID 95001545

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