Provider Demographics
NPI:1215065891
Name:YILMAZ-GONZALEZ, LAL KAYE (MD)
Entity type:Individual
Prefix:DR
First Name:LAL
Middle Name:KAYE
Last Name:YILMAZ-GONZALEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LAL
Other - Middle Name:KAYE
Other - Last Name:YILMAZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1425 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-5318
Mailing Address - Country:US
Mailing Address - Phone:925-295-7930
Mailing Address - Fax:
Practice Address - Street 1:41 DE SILVA ISLAND DR
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-3024
Practice Address - Country:US
Practice Address - Phone:415-476-1236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA71198208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery