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1063861169 NPI number — EVA YEE WAH YOUNG D.O.

NPI Number: 1063861169
Health Care Provider/Practitioner: EVA YEE WAH YOUNG D.O.

Information about “1063861169” NPI (EVA YEE WAH YOUNG D.O.) exists in 1063861169 in HTML format HTML  |  1063861169 in plain Text format TXT  |  1063861169 in PDF (Portable Document Format) PDF  |  1063861169 in an XML format XML  formats.

NPI Number : 1063861169 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063861169",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "YOUNG",
    "FirstName": "EVA",
    "MiddleName": "YEE WAH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.O.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WONG",
    "OtherFirstName": "EVA",
    "OtherMiddleName": "YEE WAH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "D.O.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1515 NEWELL AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WALNUT CREEK",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94596-5120",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "925-295-4000",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4502 MEDICAL DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN ANTONIO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78229-4402",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "210-358-3582",
    "PracticeLocationAddressFaxNumber": "210-702-4207",
    "EnumerationDate": "06/09/2016",
    "LastUpdateDate": "08/19/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207V00000X",
        "TaxonomyName": "Obstetrics & Gynecology Physician",
        "LicenseNumber": "20A19039",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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