Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 20A9173 | CA |
NPI | 1043418619 |
---|---|
Provider Name | Anna Yeung |
First Address | San Diego, CA 92138-3245 |
Second Address | Laguna Hills, CA 92653-1236 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2007 |
Last Update Date | 08/07/2007 |