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NPI Code Detail

MEDICARE: PHILIP S YUAN M.D.

MEDICARE: PHILIP S YUAN 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
1174400000XSpecialistA69019CA

General Provider Information

NPI Number : 1821077595
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP S YUAN M.D.
Provider Business Mailing Address
First Line : 2760 ATLANTIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-2755
Country : US
Telephone Number : 562-424-6666
Fax Number : 562-424-7122
Provider Business Practice Location Address
First Line : 2760 ATLANTIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-2755
Country : US
Telephone Number : 562-424-6666
Fax Number : 562-424-7122
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2006
Last Update Date : 10/01/2012

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Directions to “ PHILIP S YUAN M.D.” Practice Location

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