MEDICARE: DR. YEONG AN SHEU 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	207R00000X	Internal Medicine Physician	A72217	CA
2	207RG0100X	Gastroenterology Physician	A72217	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	:	1700865177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YEONG AN SHEU M.D.

Provider Business Mailing Address
First Line	:	PO BOX 80940
Second Line	:
City	:	SAN MARINO
State	:	CA
Zip	:	91118-8940
Country	:	US
Telephone Number	:	626-289-5688
Fax Number	:	626-289-5686

Provider Business Practice Location Address
First Line	:	4314 W VICTORY BLVD
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-1334
Country	:	US
Telephone Number	:	818-845-1854
Fax Number	:	626-289-5686

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

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	09/05/2012

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