Yasaman Jalili Movahedi
Student in an Organized Health Care Education/Training Program in Oakland, CA. Individual provider (NPI-1).
NPI number1316630163
StatusActive
Last updated in NPPESJun 21, 2023
Details
- NPI
- 1316630163
- Entity type
- Individual (NPI-1)
- Name
- Yasaman Jalili Movahedi
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 30, 2023
- Certification date
- Jun 21, 2023
- Last updated
- Jun 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
747 52nd StOakland, CA 94609-1809
Phone 510-428-3000
Mailing address
747 52nd StOakland, CA 94609-1809
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