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NPI Code Detail

MEDICARE: DR. DEREK YEE-HSIANG CHAR PSY.D.

MEDICARE:  DR. DEREK YEE-HSIANG CHAR  PSY.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
1103TC0700XClinical PsychologistPSY35392CA
2103G00000XClinical NeuropsychologistPSY35392CA
3103TR0400XRehabilitation PsychologistPSY35392CA
4103T00000XPsychologistPSY35392CA

General Provider Information

NPI Number : 1235954652
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEREK YEE-HSIANG CHAR PSY.D.
Provider Business Mailing Address
First Line : 255 E BONITA AVE
Second Line :
City : POMONA
State : CA
Zip : 91767-1933
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 255 E BONITA AVE OFC 1420
Second Line :
City : POMONA
State : CA
Zip : 91767-1923
Country : US
Telephone Number : 909-596-7733
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2024
Last Update Date : 12/03/2025

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