Provider Demographics
NPI:1518462050
Name:QUMSIYEH, YAZEN (MD)
Entity type:Individual
Prefix:DR
First Name:YAZEN
Middle Name:
Last Name:QUMSIYEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4901 CENTENNIAL PLAZA WAY
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-2011
Mailing Address - Country:US
Mailing Address - Phone:661-387-8333
Mailing Address - Fax:
Practice Address - Street 1:4901 CENTENNIAL PLAZA WAY
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-2011
Practice Address - Country:US
Practice Address - Phone:661-387-8333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1638992086S0129X
MN730942086S0129X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery