Estrada-Bazan, Yvonne Diane

Estrada-Bazan, Yvonne Diane is an individual health care provider with primary practice located at 12450 Van Nuys Blvd Suite 200, Pacoima CA 91331-1391. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Estrada-Bazan, Yvonne Diane can be contacted via phone (818) 896-1161.

Contact Information

Primary practice address
12450 Van Nuys Blvd Suite 200 Pacoima CA 91331-1391
Phone: (818) 896-1161
Fax: (818) 896-5069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 12938 California

Profile Details

NPI number 1730380221
LBN Legal business name Estrada-Bazan, Yvonne Diane
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated May 11th, 2015 - about 9 years ago

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 1730380221 NPPES
California MEDICAID 6758
California MEDICAID 7068
California MEDICAID 7420

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