Basic Information
| Provider Information | |||||||||
| NPI: | 1255789418 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YANOFSKY | ||||||||
| FirstName: | ALYSON | ||||||||
| MiddleName: | LEE | ||||||||
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| Credential: | ADULT GERIATRIC N.P. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7556 HAMPTON AVE | ||||||||
| Address2: | #103 | ||||||||
| City: | WEST HOLLYWOOD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900465559 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9177890542 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8700 BEVERLY BLVD | ||||||||
| Address2: | BECKER BLDG., SUITE B224 | ||||||||
| City: | WEST HOLLYWOOD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900481804 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3104233277 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/28/2016 | ||||||||
| LastUpdateDate: | 05/28/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2200X | 95004399 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health | 363LG0600X | 95004399 | CA | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Gerontology |
No ID Information.