Individual provider · NPI-1

Yekta Jasmine Asadi

Dentist, Periodontics · Loma Linda, CA

NPI number1073307757
StatusActive
Last updated in NPPESOct 21, 2026

Details

NPI
1073307757
Entity type
Individual (NPI-1)
Name
Yekta Jasmine Asadi
Sex
Female
Sole proprietor
No
Enumeration date
Apr 7, 2025
Certification date
Oct 21, 2026
Last updated
Oct 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, Periodontics111367CAYes
122300000X Dentist111367CA

Practice location

11092 Anderson St
Loma Linda, CA 92350-1706

Phone 949-878-8979

Mailing address

2508 Costero Magestuoso
San Clemente, CA 92673-6424

Phone 949-878-8979

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