Provider Demographics
NPI:1265563969
Name:G. HOPE D. YERRO. MD,INC
Entity type:Organization
Organization Name:G. HOPE D. YERRO. MD,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GLADYS HOPE
Authorized Official - Middle Name:DADIVAS
Authorized Official - Last Name:YERRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-781-2796
Mailing Address - Street 1:14555 HAMLIN ST
Mailing Address - Street 2:SUITE 108
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-1612
Mailing Address - Country:US
Mailing Address - Phone:818-781-2796
Mailing Address - Fax:818-781-2797
Practice Address - Street 1:14555 HAMLIN ST
Practice Address - Street 2:SUITE 108
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-1612
Practice Address - Country:US
Practice Address - Phone:818-781-2796
Practice Address - Fax:818-781-2797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA485532080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty