MEDICARE: DR. JIMMY YUAN DC

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	111N00000X	Chiropractor	7207	AZ

General Provider Information

NPI Number	:	1427135896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JIMMY YUAN DC

Provider Business Mailing Address
First Line	:	1070 WEST SEAGULL DRIVE
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85286-1705
Country	:	US
Telephone Number	:	602-319-2232
Fax Number	:	480-452-0921

Provider Business Practice Location Address
First Line	:	4710 N. 44TH STREET
Second Line	:	SUITE 187
City	:	PHOENIX
State	:	AZ
Zip	:	85018-6675
Country	:	US
Telephone Number	:	602-840-3430
Fax Number	:	480-324-0589

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	10/07/2010

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