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NPI Code Detail

MEDICARE: GILLIAN S YEO MD

MEDICARE: GILLIAN S YEO MD
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
1208000000XPediatrics PhysicianA112755CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588690077
Entity Type Code : Individual
Provider Name (Legal Business Name) : GILLIAN S YEO MD
Provider Business Mailing Address
First Line : 4865 CARRIAGE RUN DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92130-6952
Country : US
Telephone Number : 310-491-8991
Fax Number :
Provider Business Practice Location Address
First Line : 6973 LINDA VISTA RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-6342
Country : US
Telephone Number : 858-279-0925
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2006
Last Update Date : 02/22/2011

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Directions to “ GILLIAN S YEO MD” Practice Location

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