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General NPI Number Information
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NPI Number | 1427366251
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Entity Type | Organization
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Legal Business Name | ZHENGHONG YUAN MD INC
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Dates
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Enumeration Date | 09/14/2010
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Last Update Date | 04/09/2019
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Provider Practice Location Address
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Address Line | 360 E LAS TUNAS DR STE 201
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City | SAN GABRIEL
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State | CA
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Zip | 91776-1502
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Country | US
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Telephone | 626-289-9978
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Fax | 626-289-3978
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Provider Business Mailing Address
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Address Line | 360 E LAS TUNAS DR STE 201
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City | SAN GABRIEL
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State | CA
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Zip | 91776-1502
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Country | US
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Telephone | 626-289-9978
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Fax | 626-289-3978
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Authorized Official
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Title or Position | PRESIDENT
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Name | ZHENGHONG YUAN
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Credential |
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Telephone | 626-289-9978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | A111673
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | A111673
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number | A111673
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | A111673
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | A111673
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License Number State | CA
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