Provider Demographics
NPI:1902689896
Name:YALDA, NASH
Entity Type:Individual
Prefix:
First Name:NASH
Middle Name:
Last Name:YALDA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:NASHAT
Other - Middle Name:SABRI
Other - Last Name:YALDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1165 NARANCA AVE
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-4817
Mailing Address - Country:US
Mailing Address - Phone:619-933-9738
Mailing Address - Fax:
Practice Address - Street 1:1165 NARANCA AVE
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-4817
Practice Address - Country:US
Practice Address - Phone:619-933-9738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-15
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No172A00000XOther Service ProvidersDriver