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General NPI Number Information
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NPI Number | 1376880526
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Entity Type | Organization
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Legal Business Name | CHOON KIA YEO, MD, INC.
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Dates
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Enumeration Date | 01/08/2013
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Last Update Date | 01/08/2013
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Provider Practice Location Address
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Address Line | 1650 LILIHA ST STE 101
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City | HONOLULU
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State | HI
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Zip | 96817-3169
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Country | US
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Telephone | 808-538-1905
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Fax |
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Provider Business Mailing Address
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Address Line | 1650 LILIHA ST STE 101
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City | HONOLULU
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State | HI
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Zip | 96817-3169
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Country | US
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Telephone | 808-538-1905
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHOON KIA YEO
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Credential | MD
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Telephone | 808-538-1905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2525
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License Number State | HI
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