Healthcare Provider Details

I. General information

NPI: 1841534443
Provider Name (Legal Business Name): STEVE YI MD INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2012
Last Update Date: 02/23/2023
Certification Date: 02/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27875 SMYTH DRIVE SUITE 101
VALENCIA CA
91355-6064
US

IV. Provider business mailing address

27875 SMYTH DRIVE SUITE 101
VALENCIA CA
91355-6064
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 Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberA108551
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEVE YI
Title or Position: PRESIDENT
Credential: MD
Phone: 714-504-7367