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NPI Code Detail

MEDICARE: GAIK IMM YEO

MEDICARE:   GAIK IMM YEO
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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1972336659
Entity Type Code : Individual
Provider Name (Legal Business Name) : GAIK IMM YEO
Provider Business Mailing Address
First Line : 3764 TILDEN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-6912
Country : US
Telephone Number : 310-447-4545
Fax Number :
Provider Business Practice Location Address
First Line : 3764 TILDEN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-6912
Country : US
Telephone Number : 310-447-4545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2024
Last Update Date : 08/20/2024

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Directions to “ GAIK IMM YEO ” Practice Location

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