Healthcare Provider Details

I. General information

NPI: 1770289225
Provider Name (Legal Business Name): JAMES C YAO NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2023
Last Update Date: 04/07/2023
Certification Date: 04/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 S GARFIELD AVE
ALHAMBRA CA
91801-4442
US

IV. Provider business mailing address

12810 ZINNEA AVE
CHINO CA
91710-8224
US

V. Phone/Fax

Practice location:
  • Phone: 626-300-8388
  • Fax:
Mailing address:
  • Phone: 909-576-2133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95023670
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: