MEDICARE: SUNNY YEH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	00A43623	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124056429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUNNY YEH M.D.

Provider Business Mailing Address
First Line	:	1133 S SAN GABRIEL BLVD
Second Line	:
City	:	SAN GABRIEL
State	:	CA
Zip	:	91776-3114
Country	:	US
Telephone Number	:	626-286-7666
Fax Number	:	626-286-7585

Provider Business Practice Location Address
First Line	:	1133 S SAN GABRIEL BLVD
Second Line	:
City	:	SAN GABRIEL
State	:	CA
Zip	:	91776-3114
Country	:	US
Telephone Number	:	626-286-7666
Fax Number	:	626-286-7585

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	07/08/2007

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Directions to “ SUNNY YEH M.D.” Practice Location

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