So Cal Miwls Institute Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A87209 Issued in CA

Legal business name

SO CAL MIWLS INSTITUTE INC

Practice address

627 W Avenue Q Ste a
Palmdale, CA 93551-3891

Phone

(661) 723-7833

Fax

(877) 723-1502

NPI assigned

Feb 7, 2018

Organization subpart

No

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

Authorized official

Name

John Yadegar, MDNPI 1336163435

Title

President

Phone

(310) 995-9600

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Yadegar, MD

  • Surgery Physician
  • Palmdale, CA
  • NPI 1336163435
  NPD (past) Authorized official

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517961600000",
    "number": "1912406794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 W AVENUE Q STE A",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513891",
            "telephone_number": "661-723-7833",
            "fax_number": "877-723-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 W AVENUE Q STE A",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513891",
            "telephone_number": "661-723-7833",
            "fax_number": "877-723-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SO CAL MIWLS INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-07",
        "status": "A",
        "authorized_official_last_name": "YADEGAR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-995-9600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A87209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.