Basic Information
Provider Information
NPI: 1265458954
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YEH
FirstName: MICHAEL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 220 S 1ST ST
Address2:  
City: ALHAMBRA
State: CA
PostalCode: 918013700
CountryCode: US
TelephoneNumber: 6262818663
FaxNumber: 6262816318
Practice Location
Address1: 220 S 1ST ST
Address2:  
City: ALHAMBRA
State: CA
PostalCode: 918013700
CountryCode: US
TelephoneNumber: 6262818663
FaxNumber: 6262816318
Other Information
ProviderEnumerationDate: 07/14/2006
LastUpdateDate: 02/11/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/11/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000XA066379CAY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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