Healthcare Provider Details

I. General information

NPI: 1316291925
Provider Name (Legal Business Name): EDWIN YAU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2012
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N GARFIELD AVE STE 201
MONTEREY PARK CA
91754-1242
US

IV. Provider business mailing address

500 N GARFIELD AVE STE 201
MONTEREY PARK CA
91754-1242
US

V. Phone/Fax

Practice location:
  • Phone: 626-292-5896
  • Fax: 626-898-6901
Mailing address:
  • Phone: 626-292-5896
  • Fax: 626-380-1813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA123376
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: