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NPI Code Detail

MEDICARE: STEPHANIE S YAO MD

MEDICARE:   STEPHANIE S YAO  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
1207R00000XInternal Medicine PhysicianC52376CA

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 : 1598758690
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE S YAO MD
Provider Business Mailing Address
First Line : 72780 COUNTRY CLUB DR STE 205
Second Line :
City : RANCHO MIRAGE
State : CA
Zip : 92270-4150
Country : US
Telephone Number : 760-834-7900
Fax Number : 760-834-7901
Provider Business Practice Location Address
First Line : 72780 COUNTRY CLUB DR STE 205
Second Line :
City : RANCHO MIRAGE
State : CA
Zip : 92270-4150
Country : US
Telephone Number : 760-834-7900
Fax Number : 760-834-7901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2005
Last Update Date : 05/24/2024

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Directions to “ STEPHANIE S YAO MD” Practice Location

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