Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Yetasook MD Incorporated

Organization Surgery Physician · NPI 1003512559

Amy Yetasook MD Incorporated is a Surgery Physician in San Pedro, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1386B W 7th St
San Pedro, CA 90732-3517
Phone: (213) 268-5421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1003512559
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Yetasook — President · (213) 268-5421
NPI enumeratedFebruary 6, 2023
Last updated in NPPESFebruary 6, 2023
Certification dateFebruary 6, 2023
Mailing address4220 Ocean Dr, Manhattan Beach, CA 90266-3059

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