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NPI Code Detail

MEDICARE: DR. JOHN T. YONG M.D.

MEDICARE:  DR. JOHN T. YONG  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
1207R00000XInternal Medicine PhysicianG64839CA

General Provider Information

NPI Number : 1225062706
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN T. YONG M.D.
Provider Business Mailing Address
First Line : 2550 NORTH HOLLYWOOD WAY
Second Line : SUITE 209
City : BURBANK
State : CA
Zip : 91505-5019
Country : US
Telephone Number : 818-557-0135
Fax Number : 818-557-1394
Provider Business Practice Location Address
First Line : 637 LUCAS AVE
Second Line : STATION ONE
City : LOS ANGELES
State : CA
Zip : 90017-1912
Country : US
Telephone Number : 213-977-2131
Fax Number : 213-977-2544
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JOHN T. YONG M.D.” Practice Location

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