Healthcare Provider Details

I. General information

NPI: 1912086596
Provider Name (Legal Business Name): MORRIS YEN, MD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24515 KANSAS ST
NEWHALL CA
91321-1719
US

IV. Provider business mailing address

24515 KANSAS ST
NEWHALL CA
91321-1719
US

V. Phone/Fax

Practice location:
  • Phone: 661-253-4971
  • Fax: 661-253-4972
Mailing address:
  • Phone: 661-253-4971
  • Fax: 661-253-4972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MORRIS YEN
Title or Position: PRESIDENT
Credential: MD
Phone: 661-253-4971