Healthcare Provider Details

I. General information

NPI: 1710155148
Provider Name (Legal Business Name): STEVE YI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2008
Last Update Date: 02/21/2023
Certification Date: 02/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27875 SMYTH DR SUITE 101
VALENCIA CA
91355-6063
US

IV. Provider business mailing address

27875 SMYTH DR SUITE 101
VALENCIA CA
91355-6063
US

V. Phone/Fax

Practice location:
  • Phone: 661-702-1440
  • Fax: 661-702-1445
Mailing address:
  • Phone: 661-702-1440
  • Fax: 661-702-1445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA108551
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberA108551
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberA108551
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: