MEDICARE: SHOUNAN YAO MD

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	207YX0905X	Otolaryngology/Facial Plastic Surgery Physician	A83484	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000290957	OTHER	OH	ANTHEM
2	287922561001	OTHER	OH	MEDICAL MUTUAL
3	1001188	OTHER	OH	UHC
4	00A83484A	OTHER	CA	MEDI-CAL
5	2130422	OTHER	OH	FIRST HEALTH
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760480651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHOUNAN YAO MD

Provider Business Mailing Address
First Line	:	533 W LAS TUNAS DR # 202
Second Line	:
City	:	SAN GABRIEL
State	:	CA
Zip	:	91776-1133
Country	:	US
Telephone Number	:	626-284-2000
Fax Number	:	626-284-4300

Provider Business Practice Location Address
First Line	:	533 W LAS TUNAS DR # 202
Second Line	:
City	:	SAN GABRIEL
State	:	CA
Zip	:	91776-1133
Country	:	US
Telephone Number	:	626-284-2000
Fax Number	:	626-284-4300

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

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	10/08/2025

Similar Medicare Providers

1134155146 — YING FENG HUANG M.D.
Practice Location Address:

1133 S SAN GABRIEL BLVD
SAN GABRIEL, CA
91776-3114

Practice Phone: 626-286-7666
Practice Fax: 626-286-7585

1124056429 — SUNNY YEH M.D.
Practice Location Address:

1133 S SAN GABRIEL BLVD
SAN GABRIEL, CA
91776-3114

Practice Phone: 626-286-7666
Practice Fax: 626-286-7585

1386750198 — EAST LOS ANGELES ENT MEDICAL CENTER
Practice Location Address:

533 W LAS TUNAS DR # 202
SAN GABRIEL, CA
91776-1133

Practice Phone: 626-284-2000
Practice Fax: 626-284-4300

1114532231 — PRIME RX SAN GABRIEL, INC.
Practice Location Address:

533 W LAS TUNAS DR # 102
SAN GABRIEL, CA
91776-1133

Practice Phone: 626-656-6939
Practice Fax: 626-656-6593

1588306625 — KEVIN YAO MD MPH
Practice Location Address:

533 W LAS TUNAS DR UNIT 201
SAN GABRIEL, CA
91776-1133

Practice Phone: 626-372-3557
Practice Fax:

1275412736 — KEVIN YAO MD INC
Practice Location Address:

533 W LAS TUNAS DR UNIT 201
SAN GABRIEL, CA
91776-1133

Practice Phone: 626-372-3557
Practice Fax:

Directions to “ SHOUNAN YAO MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.