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DR. KELLY JOY YEPREMIAN M.D.

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1679606172

Individual Registrant:
DR. KELLY JOY YEPREMIAN M.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
15715 S ATLANTIC AVE FL 2  EAST RANCHO DOMINGUEZ, CA 90221-4242 US
Tel: 310-604-5000  Fax: --

Contact information for business:
15715 S ATLANTIC AVE FL 2  EAST RANCHO DOMINGUEZ, CA 90221-4242 US
Tel: 310-604-5000  Fax: --

Registration Information:
NPI: 1679606172
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
CAA81317

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS200904068CA01
00A813170CA05
BLUE SHIELD200904068CA01




HEALTH CARE JOBS CA - Page 1



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