MEDICARE: DR. DANIEL D. YEN D.C.

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	32168	CA
2	111N00000X	Chiropractor	B01459	NV

General Provider Information

NPI Number	:	1922370188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL D. YEN D.C.

Provider Business Mailing Address
First Line	:	3231 N DECATUR BLVD STE 116
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-3267
Country	:	US
Telephone Number	:	702-685-8776
Fax Number	:	877-669-1370

Provider Business Practice Location Address
First Line	:	3231 N DECATUR BLVD STE 116
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-3267
Country	:	US
Telephone Number	:	702-685-8776
Fax Number	:	877-669-1370

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

Provider Enumeration Date	:	02/03/2012
Last Update Date	:	12/16/2021

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