Provider Demographics
NPI:1538877956
Name:YAMINI, SACHA (DMD)
Entity type:Individual
Prefix:DR
First Name:SACHA
Middle Name:
Last Name:YAMINI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10701 WILSHIRE BLVD APT 502
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-4420
Mailing Address - Country:US
Mailing Address - Phone:424-666-4659
Mailing Address - Fax:
Practice Address - Street 1:1431 W KNOX ST STE 800
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-1358
Practice Address - Country:US
Practice Address - Phone:310-320-1180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS1083331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice