Individual provider · Type 1 NPI

Mia Yasonova

Student in an Organized Health Care Education/Training Program · Bakersfield, CA

NPI number 1891487708 Active

Practice location

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018

Fax (661) 326-2950

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Internal Medicine Physician 207R00000XA205239 (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1891487708

Mia Yasonova's National Provider Identifier is 1891487708, issued on May 22, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bakersfield, CA. The record was last updated on Sep 16, 2026.