Basic Information
Provider Information
NPI: 1962617035
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YUO
FirstName: SANG
MiddleName: H
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1709 20TH ST
Address2:  
City: BAKERSFIELD
State: CA
PostalCode: 933013903
CountryCode: US
TelephoneNumber: 6613357755
FaxNumber: 6613357766
Practice Location
Address1: 2615 CHESTER AVE
Address2:  
City: BAKERSFIELD
State: CA
PostalCode: 933012014
CountryCode: US
TelephoneNumber: 6613953000
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/11/2007
LastUpdateDate: 12/06/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XA24702CAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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