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NPI Code Detail

MEDICARE: CHIM MEE YANG DO

MEDICARE: CHIM MEE YANG DO
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
1207YS0123XFacial Plastic Surgery Physician20A22276CA
2207Y00000XOtolaryngology Physician20A22276CA

General Provider Information

NPI Number : 1447817861
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHIM MEE YANG DO
Provider Business Mailing Address
First Line : 550 WATER ST STE A
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-4126
Country : US
Telephone Number : 831-476-4414
Fax Number : 831-476-0264
Provider Business Practice Location Address
First Line : 550 WATER ST STE A
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-4126
Country : US
Telephone Number : 831-476-4414
Fax Number : 831-476-0264
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2019
Last Update Date : 10/12/2025

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Directions to “ CHIM MEE YANG DO” Practice Location

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