Healthcare Provider Details

I. General information

NPI: 1598944712
Provider Name (Legal Business Name): DAVID D. YEH, MD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2007
Last Update Date: 10/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2505 SAMAMRITAN DRIVE SUITE 605
SAN JOSE CA
95124-4017
US

IV. Provider business mailing address

2505 SAMAMRITAN DRIVE SUITE 605
SAN JOSE CA
95124-4017
US

V. Phone/Fax

Practice location:
  • Phone: 408-358-0133
  • Fax: 408-358-8134
Mailing address:
  • Phone: 408-358-0133
  • Fax: 408-358-8134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA94144
License Number StateCA

VIII. Authorized Official

Name: DAVID DINH YEH
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 408-358-0133