Physician Compare National (NPI:1689865065)

HEALTHCARE PROVIDER: ZHENGHONG YUAN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1689865065
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0941378103
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100921000470
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	YUAN
	Individual professional last name
Provider First Name	ZHENGHONG
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	416 W LAS TUNAS DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 303
	Group Practice or individual's line 2 address
City	SAN GABRIEL
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	917761236
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050132
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAN GABRIEL VALLEY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y