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NPI Code Detail

MEDICARE: DR. RAY YEH D.O.

MEDICARE:  DR. RAY  YEH  D.O.
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 Physician20A6647CA

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 : 1780653220
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAY YEH D.O.
Provider Business Mailing Address
First Line : 2070 CLINTON AVE
Second Line :
City : ALAMEDA
State : CA
Zip : 94501-4399
Country : US
Telephone Number : 510-814-4397
Fax Number : 510-814-4391
Provider Business Practice Location Address
First Line : 2070 CLINTON AVE
Second Line :
City : ALAMEDA
State : CA
Zip : 94501-4399
Country : US
Telephone Number : 510-814-4397
Fax Number : 510-814-4391
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 07/16/2007

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Directions to “ DR. RAY YEH D.O.” Practice Location

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