MEDICARE: KEVIN YAO MD INC

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

General Provider Information

NPI Number	:	1275412736
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEVIN YAO MD INC

Provider Business Mailing Address
First Line	:	533 W LAS TUNAS DR UNIT 201
Second Line	:
City	:	SAN GABRIEL
State	:	CA
Zip	:	91776-1133
Country	:	US
Telephone Number	:	626-372-3557
Fax Number	:

Provider Business Practice Location Address
First Line	:	533 W LAS TUNAS DR UNIT 201
Second Line	:
City	:	SAN GABRIEL
State	:	CA
Zip	:	91776-1133
Country	:	US
Telephone Number	:	626-372-3557
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. KEVIN YAO
Credential	:	MD MPH
Telephone Number	:	626-372-3557

Provider Enumeration Date	:	08/28/2025
Last Update Date	:	08/28/2025

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