MEDICARE: DR. DANNY YEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	A92423	CA
2	207RG0100X	Gastroenterology Physician	A92423	CA

General Provider Information

NPI Number	:	1063498897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANNY YEN M.D.

Provider Business Mailing Address
First Line	:	11795 EDUCATION ST STE 201
Second Line	:
City	:	AUBURN
State	:	CA
Zip	:	95602-2469
Country	:	US
Telephone Number	:	530-886-6800
Fax Number	:	530-886-6801

Provider Business Practice Location Address
First Line	:	11795 EDUCATION ST STE 201
Second Line	:
City	:	AUBURN
State	:	CA
Zip	:	95602-2469
Country	:	US
Telephone Number	:	530-886-6800
Fax Number	:	530-886-6801

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	04/27/2021

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