Wood, Yelena

Wood, Yelena is an individual health care provider with primary practice located at 724 S El Camino Real , San Clemente CA 92672-4250. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Wood, Yelena can be contacted via phone (949) 453-4343.

Contact Information

Primary practice address
724 S El Camino Real San Clemente CA 92672-4250
Phone: (949) 453-4343
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A70807 California

Profile Details

NPI number 1821091174
LBN Legal business name Wood, Yelena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Oct 8th, 2013 - about 11 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 1821091174 NPPES
Tennessee MEDICAID 3339132

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