Provider Demographics
NPI:1588744395
Name:YAMAMOTO, PATTI L (RN)
Entity type:Individual
Prefix:
First Name:PATTI
Middle Name:L
Last Name:YAMAMOTO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20410 VIA CADIZ
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-4574
Mailing Address - Country:US
Mailing Address - Phone:714-970-6636
Mailing Address - Fax:
Practice Address - Street 1:20410 VIA CADIZ
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-4574
Practice Address - Country:US
Practice Address - Phone:714-970-6636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC283064163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult