MEDICARE: DR. DIANA K YAO 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	G73884	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	:	1588678833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DIANA K YAO M.D.

Provider Business Mailing Address
First Line	:	3833 WORSHAM AVENUE
Second Line	:	SUITE 300
City	:	LONG BEACH
State	:	CA
Zip	:	90808-1766
Country	:	US
Telephone Number	:	562-595-5421
Fax Number	:	562-426-2826

Provider Business Practice Location Address
First Line	:	3833 WORSHAM AVENUE
Second Line	:	SUITE 300
City	:	LONG BEACH
State	:	CA
Zip	:	90808-1766
Country	:	US
Telephone Number	:	562-595-5421
Fax Number	:	562-426-2826

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

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	01/10/2022

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