Provider Demographics
NPI:1871071589
Name:YANDELL, KATALINA ASHE ROWLAND (OD)
Entity type:Individual
Prefix:
First Name:KATALINA
Middle Name:ASHE ROWLAND
Last Name:YANDELL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:377 SANTANA ROW STE 1115
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2058
Mailing Address - Country:US
Mailing Address - Phone:408-502-5020
Mailing Address - Fax:408-389-8261
Practice Address - Street 1:377 SANTANA ROW STE 1115
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2058
Practice Address - Country:US
Practice Address - Phone:408-502-5020
Practice Address - Fax:408-389-8261
Is Sole Proprietor?:No
Enumeration Date:2018-08-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34040TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist