Provider Demographics
NPI:1548869266
Name:TOTAKHAIL, YAMA
Entity type:Individual
Prefix:
First Name:YAMA
Middle Name:
Last Name:TOTAKHAIL
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 1:915 BRYANT ST # 94103
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-4514
Mailing Address - Country:US
Mailing Address - Phone:415-777-9953
Mailing Address - Fax:415-777-4717
Practice Address - Street 1:5155 W ROSECRANS AVE STE 100
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-6652
Practice Address - Country:US
Practice Address - Phone:213-215-3912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-23
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)