Healthcare Provider Details

I. General information

NPI: 1205192614
Provider Name (Legal Business Name): CHRISTOPHER E YI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2012
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 REDHILL AVE STE 110
SANTA ANA CA
92705-5518
US

IV. Provider business mailing address

2500 REDHILL AVE STE 110
SANTA ANA CA
92705-5518
US

V. Phone/Fax

Practice location:
  • Phone: 949-229-2003
  • Fax: 949-998-2499
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA120700
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberA120700
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: