Individual provider · Type 1 NPI
Prana Luisa Yenkosky, MMS, PA-C
Medical Physician Assistant · Anaheim, CA
NPI number
1295262541
Active
Practice location
751 S Weir Canyon Rd Ste 165
Anaheim, CA 92808-1962
Mailing address
2621 Green River Rd Ste 105-315
Corona, CA 92882-7433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 54370 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1295262541
Prana Luisa Yenkosky, MMS, PA-C's National Provider Identifier is 1295262541, issued on May 17, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Anaheim, CA. The record was last updated on Jan 6, 2020.