Provider Demographics
NPI:1912729773
Name:AREF, YASSER
Entity type:Individual
Prefix:DR
First Name:YASSER
Middle Name:
Last Name:AREF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 BRINDISI
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-0109
Mailing Address - Country:US
Mailing Address - Phone:949-293-5380
Mailing Address - Fax:
Practice Address - Street 1:13500 S PLEASANT VALLEY RD
Practice Address - Street 2:
Practice Address - City:KUNA
Practice Address - State:ID
Practice Address - Zip Code:83634-2709
Practice Address - Country:US
Practice Address - Phone:208-336-0740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID8861565207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine