Yaldo Eye Center ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

201332910064 Issued in CA

Legal business name

YALDO EYE CENTER ASC LLC

Practice address

2810 Camino del Rio S
San Diego, CA 92108-3818

Phone

(734) 673-5917

Fax

(314) 667-6915

NPI assigned

Mar 18, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mazin Yaldo, M.D.

Title

Owner

Phone

(734) 673-5917

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1710304514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 CAMINO DEL RIO S",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083818",
            "telephone_number": "734-673-5917",
            "fax_number": "314-667-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 CAMINO DEL RIO S",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083818",
            "telephone_number": "734-673-5917",
            "fax_number": "314-667-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YALDO EYE CENTER ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "YALDO",
        "authorized_official_first_name": "MAZIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-673-5917",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "201332910064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darren Yahyakhan
• Jennifer Yakos, B.A., M.A., BCBA
• Bayan Yaktieen, PHARMD
• Caroline Yalda, PHARMD
• Samar Yalda, PHARM.D.
• Kristen Yaldo, M.S., CF-SLP
• Trisha Yalong, MSW
• Bettina Pangilinan Yalung
• Mary Yama
• Kentaro Emil Yamada, MD

• Ambulatory Surgical Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.