Most Relevant Information
Provider Data
| NPI Number: | 1003417981 |
| Provider Name: | DAVID YUDIS PSYD |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | PS-009136-L |
Most Important Dates
| Enumeration Date: | 11/05/2020 |
| Last Updated: | 11/05/2020 |
Provider Practice Location
82 VICTORIA STE 201
NEWPORT BEACH
CA
926609009
Practice Location Phone/Fax
| Phone: | 3108778609 |
| Fax: |
Provider Mailing Location
82 VICTORIA STE 201
NEWPORT BEACH
CA
926609009
Provider Mailing Phone/Fax
| Phone: | 3108778609 |
| Fax: |