Healthcare Provider Details

I. General information

NPI: 1710062807
Provider Name (Legal Business Name): ROBERT A YOHO MD A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 12/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

797 S ARROYO PKWY
PASADENA CA
91105-3234
US

IV. Provider business mailing address

797 S ARROYO PKWY
PASADENA CA
91105-3234
US

V. Phone/Fax

Practice location:
  • Phone: 626-585-0800
  • Fax: 626-585-8887
Mailing address:
  • Phone: 626-585-0800
  • Fax: 626-585-8887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberC41114
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC41114
License Number StateCA

VIII. Authorized Official

Name: DR. ROBERT A YOHO
Title or Position: OWNER
Credential: MD
Phone: 626-585-0800