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NPI Code Detail

MEDICARE: LEAH YIM

MEDICARE: LEAH YIM
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1316747744
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH YIM
Provider Business Mailing Address
First Line : 8328 VIBRANT DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-1268
Country : US
Telephone Number : 702-301-1263
Fax Number :
Provider Business Practice Location Address
First Line : 625 SHADOW LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4118
Country : US
Telephone Number : 702-301-1263
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2025
Last Update Date : 03/14/2025

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Directions to “ LEAH YIM ” Practice Location

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